Does Saint Joseph Medical Center have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Saint Joseph Medical Center. In a medical emergency, call 911.

Where is Saint Joseph Medical Center?

333 N Madison St, Joliet, IL 60435, in Will County, Illinois.

What is the phone number of Saint Joseph Medical Center?

(815) 725-7133, as listed by Medicare (CMS).

What is the Medicare star rating of Saint Joseph Medical Center?

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

Saint Joseph Medical Center — Joliet, IL

Quick answers

Does Saint Joseph Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Saint Joseph Medical Center. In a medical emergency, call 911.
Where is Saint Joseph Medical Center?: 333 N Madison St, Joliet, IL 60435, in Will County, Illinois.
What is the phone number of Saint Joseph Medical Center?: (815) 725-7133, as listed by Medicare (CMS).
What is the Medicare star rating of Saint Joseph Medical Center?: 1 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[5]

Treatments^[5]

Mammography

Procedures^[5]

Robotic-assisted surgery

Programs and centers^[4][5]

Stroke Center
Geriatric Emergency Department accreditation

Emergency care (hospital website)^[4]

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

Visiting and practical information

Parking	Free parking in the covered garage on Springfield Ave.; free valet at Madison Street entrance and 24/7 at the ER entrance^[6]
Patient portal	MyChart Patient Portal

Recognition^[4]

Joint Commission accredited

Doctors and clinicians (505)

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

Main specialties

Doctors with a page on this site (505)

Aaron Gurfinchel, MDNephrology
Abdul H. Sankari, MDCardiovascular Disease (Cardiology)
Abdul Safadi, MDCardiovascular Disease (Cardiology)
Abdulhamid T. Hussein, MDEmergency Medicine
Abhinav Singla, MDInternal Medicine
Abhishek Mehta, MDFamily Practice
Ada V. Paolucci, DPMPodiatry
Adham M. Karim, MDInternal Medicine
Adnan Hussain, MDEmergency Medicine
Aftab A. Khan, MDInternal Medicine
Ahmad Abdul Karim, MDCardiac Electrophysiology
Alex N. AririNurse Practitioner
Alexander PongEmergency Medicine
Alexander Z. Sosenko, MDPulmonary Disease
Alexandra RichardsNurse Practitioner
Alice E. Tudor, CNACertified Registered Nurse Anesthetist (CRNA)
Allan Wang, MDDiagnostic Radiology
Allison L. CurranNurse Practitioner
Amanda E. Heimdal, NPNurse Practitioner
Amanda M. St LouisNurse Practitioner
Amanda R. BenjaminNurse Practitioner
Amar B. Garapati, MDPulmonary Disease
Amar P. Shah, MDDiagnostic Radiology
Amar Singh, MDDiagnostic Radiology

And 481 more: the button below opens the full list.

Other emergency rooms nearby

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

Silver Cross Hospital and Medical Centers7.8 mi · New Lenox, IL · Acute Care Hospital
Silver Oaks Behavioral Hospital7.8 mi · New Lenox, IL · Psychiatric Hospital
UChicago Medicine AdventHealth Bolingbrook11 mi · Bolingbrook, IL · Acute Care Hospital
Copley Memorial Hospital15 mi · Aurora, IL · Acute Care Hospital
Edward Hospital16 mi · Naperville, IL · Acute Care Hospital

Other hospitals nearby

Linden Oaks at Edward16 mi · Naperville, IL · Psychiatric 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

Parc Joliet0.2 mi · Joliet, IL · 2 of 5 stars
Avantara Joliet0.3 mi · Joliet, IL · 3 of 5 stars
The Pearl of Joliet0.5 mi · Joliet, IL · 1 of 5 stars

All nursing homes in the state →

Hospice providers

Lightways Hospice and Serious Illness Care3.1 mi · Joliet, IL · 4 of 5 stars
Providence Hospice10 mi · Homer Glen, IL · 4 of 5 stars
Angels Grace Hospice12 mi · Bolingbrook, IL · 4 of 5 stars

All hospice providers in the state →

Home health agencies

Interim Healthcare Services of Joliet Inc1.5 mi · Joliet, IL
Newsome Home Health Care & Purpose Care of Illinois - Joliet1.5 mi · Joliet, IL
Prime Home Care - Joliet1.5 mi · Joliet, IL

All home health agencies in the state →

Dialysis facilities

DaVita Renal Center West Joliet1.5 mi · Joliet, IL · 3 of 5 stars
DaVita Sun Health Dialysis1.5 mi · Joliet, IL · 4 of 5 stars
FMC - Home Dialysis Network Inc.1.5 mi · Joliet, 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.

Amsurg Surgery Center1.5 mi · Joliet, IL
Silver Cross Surgery Center9.1 mi · New Lenox, IL
Plainfield Surgery Center, LLC10 mi · Plainfield, IL

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Aunt Martha's Health Center West Joliet0.0 mi · Joliet, IL · Community health center
Aunt Martha's Health Center Joliet Jefferson0.4 mi · Joliet, IL · Community health center
VNA Health Care- Joliet1.0 mi · Joliet, IL · Community health center

Clinics and urgent care

E Mediate Cure LLC1.5 mi · Joliet, IL · Urgent care center
E Mediate Cure LLC4.7 mi · Shorewood, IL · Urgent care center
Absolute Health Center LLC6.2 mi · Plainfield, IL · Urgent care center

Pharmacies

1918 Winter Street Operating Co LLC1.5 mi · Joliet, IL · Community/retail pharmacy
Best RX, Inc.1.5 mi · Joliet, IL · Community/retail pharmacy
Best RX, Inc.1.5 mi · Joliet, IL · Community/retail pharmacy

About the Medicare star rating

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

Medicare quality data

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	2 of 5 stars
Overall rating of the hospital	2 of 5 stars
Would recommend the hospital	1 of 5 stars
Nurses communicated well	2 of 5 stars
Doctors communicated well	2 of 5 stars
Staff explained medicines	1 of 5 stars
Information about recovery at home	2 of 5 stars
Room and bathroom kept clean	1 of 5 stars
Quiet at night	4 of 5 stars
Rated the hospital 9 or 10 out of 10	52%National average: 72%
Would definitely recommend the hospital	50%National average: 71%
Nurses “always” communicated well	69%National average: 80%
Doctors “always” communicated well	69%National average: 80%
Staff “always” explained medicines before giving them	47%National average: 62%
Were given information about recovery at home	80%National average: 86%
Room and bathroom “always” clean	56%National average: 74%
Area around the room “always” quiet at night	58%National average: 60%
Completed surveys	1,337Response rate: 28%

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)	0.588No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	1.607No different from the national benchmark
Surgical site infections after colon surgery	0.958No different from the national benchmark
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	1.168No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.707No different from the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients	13%
Deaths within 30 days: heart failure patients	9.4%
Deaths within 30 days: pneumonia patients	13.2%
Deaths within 30 days: COPD patients	8.2%
Deaths within 30 days: stroke patients	14.5%
Deaths within 30 days: coronary bypass surgery (CABG)	2.7%
Serious complications (patient safety indicator PSI-90)	1.37Worse than the national rate
Complications after hip or knee replacement	Too few cases to report

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	15.5%
Readmitted within 30 days: heart failure	20.5%
Readmitted within 30 days: pneumonia	17.5%
Readmitted within 30 days: COPD	20.4%
Readmitted within 30 days: coronary bypass surgery	11.5%
Readmitted within 30 days: hip or knee replacement	Too few cases to report

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)	197 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)	39%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 Illinois Best hospitals in Illinois

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 66 common services exactly as Saint Joseph Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: OB ED LEVEL 3	$1,834	$291	$75.26 – $1,834
Emergency room visit (moderate): 10 of 54 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $349.31 Aetna — Aetna Medicare: $291.09 Aetna — Aetna Network: $451.19 Aetna Better Health — Aetna Better Health Dual Eligible: $305.64 Aetna Better Health — Aetna Better Health Medicaid: $307.80 BCBS — BCBS Ill Dual Eligible: $276.54 BCBS — BCBS Ill Medicare HMO/PPO: $291.09 BCBS — BCBS Medicaid: $307.80 BCBS — BCBS MyBlue plus POS: $392.97 BCBS — BCBS Smart Health Care: $407.53
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: ED LEVEL 3	$1,834	$291	$75.26 – $1,834
Emergency room visit (moderate): 10 of 48 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $349.31 Aetna — Aetna Medicare: $291.09 Aetna — Aetna Network: $451.19 Aetna Better Health — Aetna Better Health Dual Eligible: $305.64 BCBS — BCBS Ill Dual Eligible: $276.54 BCBS — BCBS Ill Medicare HMO/PPO: $291.09 BCBS — BCBS MyBlue plus POS: $392.97 BCBS — BCBS Smart Health Care: $407.53 Carelon Behavioral Health (fka Beacon Health) — Carelon Behavioral Health (fka Beacon Health): $408 Celtic (Ambetter) — Celtic Insurance Company (Ambetter) Exchange: $471.57
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: MCD/MGMC ED LEVEL 3	$1,834	$291	$75.26 – $1,834
Emergency room visit (moderate): 10 of 42 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $349.31 Aetna — Aetna Medicare: $291.09 Aetna — Aetna Network: $451.19 Aetna Better Health — Aetna Better Health Dual Eligible: $305.64 BCBS — BCBS Ill Dual Eligible: $276.54 BCBS — BCBS Ill Medicare HMO/PPO: $291.09 BCBS — BCBS MyBlue plus POS: $392.97 BCBS — BCBS Smart Health Care: $407.53 Celtic (Ambetter) — Celtic Insurance Company (Ambetter) Exchange: $471.57 Celtic (WellCare) — Celtic WellCare Complete (WellCare) Medicare: $291.09
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: OB ED LEVEL 4	$3,475	$444	$128.31 – $3,475
Emergency room visit (moderately high): 10 of 53 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $533.94 Aetna — Aetna Medicare: $444.95 Aetna — Aetna Network: $689.67 Aetna Better Health — Aetna Better Health Dual Eligible: $467.20 Aetna Better Health — Aetna Better Health Medicaid: $307.80 BCBS — BCBS Ill Dual Eligible: $422.70 BCBS — BCBS Ill Medicare HMO/PPO: $444.95 BCBS — BCBS Medicaid: $307.80 BCBS — BCBS MyBlue plus POS: $600.68 BCBS — BCBS Smart Health Care: $622.93
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: ED LEVEL 4	$3,475	$444	$128.31 – $3,475
Emergency room visit (moderately high): 10 of 47 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $533.94 Aetna — Aetna Medicare: $444.95 Aetna — Aetna Network: $689.67 Aetna Better Health — Aetna Better Health Dual Eligible: $467.20 BCBS — BCBS Ill Dual Eligible: $422.70 BCBS — BCBS Ill Medicare HMO/PPO: $444.95 BCBS — BCBS MyBlue plus POS: $600.68 BCBS — BCBS Smart Health Care: $622.93 Carelon Behavioral Health (fka Beacon Health) — Carelon Behavioral Health (fka Beacon Health): $408 Celtic (Ambetter) — Celtic Insurance Company (Ambetter) Exchange: $720.82
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: OB ED LEVEL 5	$5,129	$635	$185.25 – $5,129
Emergency room visit (high): 10 of 53 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $762.06 Aetna — Aetna Medicare: $635.05 Aetna — Aetna Network: $984.33 Aetna Better Health — Aetna Better Health Dual Eligible: $666.80 Aetna Better Health — Aetna Better Health Medicaid: $307.80 BCBS — BCBS Ill Dual Eligible: $603.30 BCBS — BCBS Ill Medicare HMO/PPO: $635.05 BCBS — BCBS Medicaid: $307.80 BCBS — BCBS MyBlue plus POS: $857.32 BCBS — BCBS Smart Health Care: $889.07
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: ED LEVEL 5	$5,129	$635	$185.25 – $5,129
Emergency room visit (high): 10 of 47 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $762.06 Aetna — Aetna Medicare: $635.05 Aetna — Aetna Network: $984.33 Aetna Better Health — Aetna Better Health Dual Eligible: $666.80 BCBS — BCBS Ill Dual Eligible: $603.30 BCBS — BCBS Ill Medicare HMO/PPO: $635.05 BCBS — BCBS MyBlue plus POS: $857.32 BCBS — BCBS Smart Health Care: $889.07 Carelon Behavioral Health (fka Beacon Health) — Carelon Behavioral Health (fka Beacon Health): $408 Celtic (Ambetter) — Celtic Insurance Company (Ambetter) Exchange: $1,028.78

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: BASIC METABOLIC PANEL	$450	$8	$5.08 – $450
Basic metabolic panel (blood test): 10 of 56 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $10.15 Aetna — Aetna Medicare: $8.46 Aetna — Aetna Network: $13.11 Aetna Better Health — Aetna Better Health Dual Eligible: $8.88 Aetna Better Health — Aetna Better Health Medicaid: $6.35 BCBS — BCBS Ill Dual Eligible: $8.04 BCBS — BCBS Ill Medicare HMO/PPO: $8.46 BCBS — BCBS Medicaid: $6.35 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	$694	$10	$6.34 – $694
Comprehensive metabolic panel (blood test): 10 of 55 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $12.67 Aetna — Aetna Medicare: $10.56 Aetna — Aetna Network: $16.37 Aetna Better Health — Aetna Better Health Dual Eligible: $11.09 Aetna Better Health — Aetna Better Health Medicaid: $6.35 BCBS — BCBS Ill Dual Eligible: $10.03 BCBS — BCBS Ill Medicare HMO/PPO: $10.56 BCBS — BCBS Medicaid: $6.35 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	$232	$47	$6.35 – $232
Obstetric blood test panel: 10 of 51 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $57.37 Aetna — Aetna Medicare: $47.81 Aetna — Aetna Network: $74.11 Aetna Better Health — Aetna Better Health Dual Eligible: $50.20 Aetna Better Health — Aetna Better Health Medicaid: $6.35 BCBS — BCBS Ill Dual Eligible: $45.42 BCBS — BCBS Ill Medicare HMO/PPO: $47.81 BCBS — BCBS Medicaid: $6.35 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	$596	$13	$6.35 – $596
Cholesterol panel (lipid panel): 10 of 53 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $16.07 Aetna — Aetna Medicare: $13.39 Aetna — Aetna Network: $20.75 Aetna Better Health — Aetna Better Health Dual Eligible: $14.06 Aetna Better Health — Aetna Better Health Medicaid: $6.35 BCBS — BCBS Ill Dual Eligible: $12.72 BCBS — BCBS Ill Medicare HMO/PPO: $13.39 BCBS — BCBS Medicaid: $6.35 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	$235	$8	$5.21 – $235
Kidney function panel: 10 of 51 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $10.42 Aetna — Aetna Medicare: $8.68 Aetna — Aetna Network: $13.45 Aetna Better Health — Aetna Better Health Dual Eligible: $9.11 Aetna Better Health — Aetna Better Health Medicaid: $6.35 BCBS — BCBS Ill Dual Eligible: $8.25 BCBS — BCBS Ill Medicare HMO/PPO: $8.68 BCBS — BCBS Medicaid: $6.35 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	$197	$8	$4.90 – $197
Liver function panel: 10 of 52 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $9.80 Aetna — Aetna Medicare: $8.17 Aetna — Aetna Network: $12.66 Aetna Better Health — Aetna Better Health Dual Eligible: $8.58 Aetna Better Health — Aetna Better Health Medicaid: $6.35 BCBS — BCBS Ill Dual Eligible: $7.76 BCBS — BCBS Ill Medicare HMO/PPO: $8.17 BCBS — BCBS Medicaid: $6.35 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: NITRITE, URINE AUTOMATED	$222	$3	$1.90 – $222
Urine test (automated, with microscope): 10 of 54 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $3.80 Aetna — Aetna Medicare: $3.17 Aetna — Aetna Network: $4.91 Aetna Better Health — Aetna Better Health Dual Eligible: $3.33 Aetna Better Health — Aetna Better Health Medicaid: $2.12 BCBS — BCBS Ill Dual Eligible: $3.01 BCBS — BCBS Ill Medicare HMO/PPO: $3.17 BCBS — BCBS Medicaid: $2.12 BCBS — BCBS MyBlue plus POS: $4.28 BCBS — BCBS Smart Health Care: $4.44
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: URINALYSIS WITH MICROSCOPIC	$222	$3	$1.90 – $222
Urine test (automated, with microscope): 10 of 48 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $3.80 Aetna — Aetna Medicare: $3.17 Aetna — Aetna Network: $4.91 Aetna Better Health — Aetna Better Health Dual Eligible: $3.33 BCBS — BCBS Ill Dual Eligible: $3.01 BCBS — BCBS Ill Medicare HMO/PPO: $3.17 BCBS — BCBS MyBlue plus POS: $4.28 BCBS — BCBS Smart Health Care: $4.44 Celtic (Ambetter) — Celtic Insurance Company (Ambetter) Exchange: $5.14 Celtic (WellCare) — Celtic WellCare Complete (WellCare) Medicare: $3.17
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: OB MACROSCOPIC URINE,AUTOMATED	$170	$2	$1.35 – $170
Urine test (automated, without microscope): 10 of 55 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $2.70 Aetna — Aetna Medicare: $2.25 Aetna — Aetna Network: $3.49 Aetna Better Health — Aetna Better Health Dual Eligible: $2.36 Aetna Better Health — Aetna Better Health Medicaid: $2.12 BCBS — BCBS Ill Dual Eligible: $2.14 BCBS — BCBS Ill Medicare HMO/PPO: $2.25 BCBS — BCBS Medicaid: $2.12 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: URINALYSIS, AUTOMATED	$170	$2	$1.35 – $170
Urine test (automated, without microscope): 10 of 50 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $2.70 Aetna — Aetna Medicare: $2.25 Aetna — Aetna Network: $3.49 Aetna Better Health — Aetna Better Health Dual Eligible: $2.36 BCBS — BCBS Ill Dual Eligible: $2.14 BCBS — BCBS Ill Medicare HMO/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	$170	$2	$1.35 – $170
Urine test (automated, without microscope): 10 of 49 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $2.70 Aetna — Aetna Medicare: $2.25 Aetna — Aetna Network: $3.49 Aetna Better Health — Aetna Better Health Dual Eligible: $2.36 BCBS — BCBS Ill Dual Eligible: $2.14 BCBS — BCBS Ill Medicare HMO/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: PSA TOTAL	$472	$18	$8.41 – $472
PSA (prostate specific antigen) blood test: 10 of 53 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $22.07 Aetna — Aetna Medicare: $18.39 Aetna — Aetna Network: $28.50 Aetna Better Health — Aetna Better Health Dual Eligible: $19.31 Aetna Better Health — Aetna Better Health Medicaid: $8.41 BCBS — BCBS Ill Dual Eligible: $17.47 BCBS — BCBS Ill Medicare HMO/PPO: $18.39 BCBS — BCBS Medicaid: $8.41 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)	$472	$18	$8.41 – $472
PSA (prostate specific antigen) blood test: 10 of 47 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $22.07 Aetna — Aetna Medicare: $18.39 Aetna — Aetna Network: $28.50 Aetna Better Health — Aetna Better Health Dual Eligible: $19.31 BCBS — BCBS Ill Dual Eligible: $17.47 BCBS — BCBS Ill Medicare HMO/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: PROSTATIC SPECIFIC AG, DIAG	$472	$18	$8.41 – $472
PSA (prostate specific antigen) blood test: 10 of 47 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $22.07 Aetna — Aetna Medicare: $18.39 Aetna — Aetna Network: $28.50 Aetna Better Health — Aetna Better Health Dual Eligible: $19.31 BCBS — BCBS Ill Dual Eligible: $17.47 BCBS — BCBS Ill Medicare HMO/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: TSH NEONATAL SCREEN	$578	$16	$9.28 – $578
Thyroid stimulating hormone (TSH) test: 10 of 55 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $20.16 Aetna — Aetna Medicare: $16.80 Aetna — Aetna Network: $26.04 Aetna Better Health — Aetna Better Health Dual Eligible: $17.64 Aetna Better Health — Aetna Better Health Medicaid: $9.28 BCBS — BCBS Ill Dual Eligible: $15.96 BCBS — BCBS Ill Medicare HMO/PPO: $16.80 BCBS — BCBS Medicaid: $9.28 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: THYROID STIMULATING HORMONE	$578	$16	$9.28 – $578
Thyroid stimulating hormone (TSH) test: 10 of 49 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $20.16 Aetna — Aetna Medicare: $16.80 Aetna — Aetna Network: $26.04 Aetna Better Health — Aetna Better Health Dual Eligible: $17.64 BCBS — BCBS Ill Dual Eligible: $15.96 BCBS — BCBS Ill Medicare HMO/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)	$59	$16	$9.28 – $578
Thyroid stimulating hormone (TSH) test: 10 of 49 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $20.16 Aetna — Aetna Medicare: $16.80 Aetna — Aetna Network: $26.04 Aetna Better Health — Aetna Better Health Dual Eligible: $17.64 BCBS — BCBS Ill Dual Eligible: $15.96 BCBS — BCBS Ill Medicare HMO/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	$269	$7	$4.17 – $269
Complete blood count (CBC) with differential: 10 of 57 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $9.32 Aetna — Aetna Medicare: $7.77 Aetna — Aetna Network: $12.04 Aetna Better Health — Aetna Better Health Dual Eligible: $8.16 Aetna Better Health — Aetna Better Health Medicaid: $4.17 BCBS — BCBS Ill Dual Eligible: $7.38 BCBS — BCBS Ill Medicare HMO/PPO: $7.77 BCBS — BCBS Medicaid: $4.17 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	$137	$6	$3.88 – $137
Complete blood count (CBC), automated: 10 of 52 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $7.76 Aetna — Aetna Medicare: $6.47 Aetna — Aetna Network: $10.03 Aetna Better Health — Aetna Better Health Dual Eligible: $6.79 Aetna Better Health — Aetna Better Health Medicaid: $4.17 BCBS — BCBS Ill Dual Eligible: $6.15 BCBS — BCBS Ill Medicare HMO/PPO: $6.47 BCBS — BCBS Medicaid: $4.17 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: PROTHROMBIN TIME - 85610 - 30000115	$104	$4	$2.57 – $112
Blood clotting time test (prothrombin time, PT): 10 of 55 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $5.15 Aetna — Aetna Medicare: $4.29 Aetna — Aetna Network: $6.65 Aetna Better Health — Aetna Better Health Dual Eligible: $4.50 Aetna Better Health — Aetna Better Health Medicaid: $3.11 BCBS — BCBS Ill Dual Eligible: $4.08 BCBS — BCBS Ill Medicare HMO/PPO: $4.29 BCBS — BCBS Medicaid: $3.11 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	$112	$4	$2.57 – $112
Blood clotting time test (prothrombin time, PT): 10 of 49 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $5.15 Aetna — Aetna Medicare: $4.29 Aetna — Aetna Network: $6.65 Aetna Better Health — Aetna Better Health Dual Eligible: $4.50 BCBS — BCBS Ill Dual Eligible: $4.08 BCBS — BCBS Ill Medicare HMO/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: PT INHIBITOR SCREEN - 85610 - 30500220	$112	$4	$2.57 – $112
Blood clotting time test (prothrombin time, PT): 10 of 49 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $5.15 Aetna — Aetna Medicare: $4.29 Aetna — Aetna Network: $6.65 Aetna Better Health — Aetna Better Health Dual Eligible: $4.50 BCBS — BCBS Ill Dual Eligible: $4.08 BCBS — BCBS Ill Medicare HMO/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: PTT INHIBITOR SCREEN, 1HR	$106	$6	$3.11 – $106
Blood clotting test (partial thromboplastin time, PTT): 10 of 54 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $7.21 Aetna — Aetna Medicare: $6.01 Aetna — Aetna Network: $9.32 Aetna Better Health — Aetna Better Health Dual Eligible: $6.31 Aetna Better Health — Aetna Better Health Medicaid: $3.11 BCBS — BCBS Ill Dual Eligible: $5.71 BCBS — BCBS Ill Medicare HMO/PPO: $6.01 BCBS — BCBS Medicaid: $3.11 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: PARTIAL THROMBO PLASTIN TIME	$106	$6	$3.11 – $106
Blood clotting test (partial thromboplastin time, PTT): 10 of 48 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $7.21 Aetna — Aetna Medicare: $6.01 Aetna — Aetna Network: $9.32 Aetna Better Health — Aetna Better Health Dual Eligible: $6.31 BCBS — BCBS Ill Dual Eligible: $5.71 BCBS — BCBS Ill Medicare HMO/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: PARTIAL THROMBOPLASTIN TIME	$106	$6	$3.11 – $106
Blood clotting test (partial thromboplastin time, PTT): 10 of 48 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $7.21 Aetna — Aetna Medicare: $6.01 Aetna — Aetna Network: $9.32 Aetna Better Health — Aetna Better Health Dual Eligible: $6.31 BCBS — BCBS Ill Dual Eligible: $5.71 BCBS — BCBS Ill Medicare HMO/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)

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: HEAD W/O CONTRAST	$4,264	$111	$69.20 – $4,264
CT scan of the head or brain, without contrast: 10 of 57 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $133.78 Aetna — Aetna Commercial: $2,071 Aetna — Aetna Medicare: $111.48 Aetna — Aetna Network: $172.79 Aetna Better Health — Aetna Better Health Dual Eligible: $117.05 Aetna Better Health — Aetna Better Health Medicaid: $263.61 BCBS — BCBS Ill Dual Eligible: $105.91 BCBS — BCBS Ill Medicare HMO/PPO: $111.48 BCBS — BCBS Medicaid: $263.61 BCBS — BCBS MyBlue plus POS: $150.50
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: PITUITARY W/WO CONTRAST - 70553 - 61000450	$9,446	$372	$218.23 – $9,446
MRI of the brain, before and after contrast: 10 of 55 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $446.42 Aetna — Aetna Commercial: $2,453 Aetna — Aetna Medicare: $372.02 Aetna — Aetna Network: $576.63 Aetna Better Health — Aetna Better Health Dual Eligible: $390.62 Aetna Better Health — Aetna Better Health Medicaid: $353.04 BCBS — BCBS Ill Dual Eligible: $353.42 BCBS — BCBS Ill Medicare HMO/PPO: $372.02 BCBS — BCBS Medicaid: $353.04 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	$9,446	$372	$218.23 – $9,446
MRI of the brain, before and after contrast: 10 of 49 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $446.42 Aetna — Aetna Commercial: $2,453 Aetna — Aetna Medicare: $372.02 Aetna — Aetna Network: $576.63 Aetna Better Health — Aetna Better Health Dual Eligible: $390.62 BCBS — BCBS Ill Dual Eligible: $353.42 BCBS — BCBS Ill Medicare HMO/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	$9,446	$372	$218.23 – $9,446
MRI of the brain, before and after contrast: 10 of 49 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $446.42 Aetna — Aetna Commercial: $2,453 Aetna — Aetna Medicare: $372.02 Aetna — Aetna Network: $576.63 Aetna Better Health — Aetna Better Health Dual Eligible: $390.62 BCBS — BCBS Ill Dual Eligible: $353.42 BCBS — BCBS Ill Medicare HMO/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 FLUOROSCOPY W/2 VIEW	$861	$92	$23.92 – $861
Chest X-ray, 2 views: 10 of 53 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $111.35 Aetna — Aetna Medicare: $92.79 Aetna — Aetna Network: $143.82 Aetna Better Health — Aetna Better Health Dual Eligible: $97.43 Aetna Better Health — Aetna Better Health Medicaid: $48.70 BCBS — BCBS Ill Dual Eligible: $88.15 BCBS — BCBS Ill Medicare HMO/PPO: $92.79 BCBS — BCBS Medicaid: $48.70 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 DECUB BILATERAL	$861	$92	$23.92 – $861
Chest X-ray, 2 views: 10 of 47 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $111.35 Aetna — Aetna Medicare: $92.79 Aetna — Aetna Network: $143.82 Aetna Better Health — Aetna Better Health Dual Eligible: $97.43 BCBS — BCBS Ill Dual Eligible: $88.15 BCBS — BCBS Ill Medicare HMO/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 PA & LAT 2 VIEWS	$861	$92	$23.92 – $861
Chest X-ray, 2 views: 10 of 47 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $111.35 Aetna — Aetna Medicare: $92.79 Aetna — Aetna Network: $143.82 Aetna Better Health — Aetna Better Health Dual Eligible: $97.43 BCBS — BCBS Ill Dual Eligible: $88.15 BCBS — BCBS Ill Medicare HMO/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 MIN 5 VIEWS	$1,370	$111	$42.10 – $1,370
X-ray of the lower spine, at least 4 views: 10 of 55 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $133.78 Aetna — Aetna Medicare: $111.48 Aetna — Aetna Network: $172.79 Aetna Better Health — Aetna Better Health Dual Eligible: $117.05 Aetna Better Health — Aetna Better Health Medicaid: $48.70 BCBS — BCBS Ill Dual Eligible: $105.91 BCBS — BCBS Ill Medicare HMO/PPO: $111.48 BCBS — BCBS Medicaid: $48.70 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	$4,778	$254	$127.07 – $4,778
MRI of the lower back (lumbar spine), without contrast: 10 of 55 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $305.33 Aetna — Aetna Commercial: $2,453 Aetna — Aetna Medicare: $254.44 Aetna — Aetna Network: $394.38 Aetna Better Health — Aetna Better Health Dual Eligible: $267.16 Aetna Better Health — Aetna Better Health Medicaid: $209.24 BCBS — BCBS Ill Dual Eligible: $241.72 BCBS — BCBS Ill Medicare HMO/PPO: $254.44 BCBS — BCBS Medicaid: $209.24 BCBS — BCBS MyBlue plus POS: $343.49
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI L-SPINE SURVEY WO CONTRAST	$4,778	$254	$127.07 – $4,778
MRI of the lower back (lumbar spine), without contrast: 10 of 49 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $305.33 Aetna — Aetna Commercial: $2,453 Aetna — Aetna Medicare: $254.44 Aetna — Aetna Network: $394.38 Aetna Better Health — Aetna Better Health Dual Eligible: $267.16 BCBS — BCBS Ill Dual Eligible: $241.72 BCBS — BCBS Ill Medicare HMO/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 pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: PELVIS W/CONTRAST - 72193 - 35000265	$3,459	$187	$177.50 – $3,459
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: $2,071 Aetna — Aetna Medicare: $187.04 Aetna — Aetna Network: $289.91 Aetna Better Health — Aetna Better Health Dual Eligible: $196.39 Aetna Better Health — Aetna Better Health Medicaid: $263.61 BCBS — BCBS Ill Dual Eligible: $177.69 BCBS — BCBS Ill Medicare HMO/PPO: $187.04 BCBS — BCBS Medicaid: $263.61 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: LEFT HIP W/O CONTRAST	$4,261	$254	$145.94 – $4,261
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: $2,453 Aetna — Aetna Medicare: $254.44 Aetna — Aetna Network: $394.38 Aetna Better Health — Aetna Better Health Dual Eligible: $267.16 Aetna Better Health — Aetna Better Health Medicaid: $209.24 BCBS — BCBS Ill Dual Eligible: $241.72 BCBS — BCBS Ill Medicare HMO/PPO: $254.44 BCBS — BCBS Medicaid: $209.24 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: ANKLE RIGHT W/O CONTRAST	$4,261	$254	$145.94 – $4,261
MRI of a leg joint (such as the knee), without contrast: 10 of 48 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $305.33 Aetna — Aetna Commercial: $2,453 Aetna — Aetna Medicare: $254.44 Aetna — Aetna Network: $394.38 Aetna Better Health — Aetna Better Health Dual Eligible: $267.16 BCBS — BCBS Ill Dual Eligible: $241.72 BCBS — BCBS Ill Medicare HMO/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
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	$4,261	$254	$145.94 – $4,261
MRI of a leg joint (such as the knee), without contrast: 10 of 48 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $305.33 Aetna — Aetna Commercial: $2,453 Aetna — Aetna Medicare: $254.44 Aetna — Aetna Network: $394.38 Aetna Better Health — Aetna Better Health Dual Eligible: $267.16 BCBS — BCBS Ill Dual Eligible: $241.72 BCBS — BCBS Ill Medicare HMO/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	$9,993	$372	$222.78 – $9,993
CT scan of the abdomen and pelvis, with contrast: 10 of 51 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $446.42 Aetna — Aetna Commercial: $2,071 Aetna — Aetna Medicare: $372.02 Aetna — Aetna Network: $576.63 Aetna Better Health — Aetna Better Health Dual Eligible: $390.62 Aetna Better Health — Aetna Better Health Medicaid: $263.61 BCBS — BCBS Ill Dual Eligible: $353.42 BCBS — BCBS Ill Medicare HMO/PPO: $372.02 BCBS — BCBS Medicaid: $263.61 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	$5,118	$372	$222.78 – $9,993
CT scan of the abdomen and pelvis, with contrast: 10 of 45 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $446.42 Aetna — Aetna Commercial: $2,071 Aetna — Aetna Medicare: $372.02 Aetna — Aetna Network: $576.63 Aetna Better Health — Aetna Better Health Dual Eligible: $390.62 BCBS — BCBS Ill Dual Eligible: $353.42 BCBS — BCBS Ill Medicare HMO/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	$3,335	$111	$79.39 – $3,335
Ultrasound of the abdomen, complete: 10 of 52 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $133.78 Aetna — Aetna Medicare: $111.48 Aetna — Aetna Network: $172.79 Aetna Better Health — Aetna Better Health Dual Eligible: $117.05 Aetna Better Health — Aetna Better Health Medicaid: $146.03 BCBS — BCBS Ill Dual Eligible: $105.91 BCBS — BCBS Ill Medicare HMO/PPO: $111.48 BCBS — BCBS Medicaid: $146.03 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 PREG >1ST TRI SGL/1ST FETUS	$1,857	$111	$87.31 – $1,857
Pregnancy ultrasound (after the first trimester): 10 of 53 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $133.78 Aetna — Aetna Medicare: $111.48 Aetna — Aetna Network: $172.79 Aetna Better Health — Aetna Better Health Dual Eligible: $117.05 Aetna Better Health — Aetna Better Health Medicaid: $87.31 BCBS — BCBS Ill Dual Eligible: $105.91 BCBS — BCBS Ill Medicare HMO/PPO: $111.48 BCBS — BCBS Medicaid: $87.31 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: US TRANSVAGINAL NON OB	$1,578	$111	$87.97 – $1,578
Transvaginal ultrasound: 10 of 53 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $133.78 Aetna — Aetna Medicare: $111.48 Aetna — Aetna Network: $172.79 Aetna Better Health — Aetna Better Health Dual Eligible: $117.05 Aetna Better Health — Aetna Better Health Medicaid: $94.78 BCBS — BCBS Ill Dual Eligible: $105.91 BCBS — BCBS Ill Medicare HMO/PPO: $111.48 BCBS — BCBS Medicaid: $94.78 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 RIGHT	$746	$88	$41.41 – $769
Diagnostic mammogram, one breast: 10 of 50 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $106.50 Aetna — Aetna Medicare: $88.75 Aetna — Aetna Network: $137.56 Aetna Better Health — Aetna Better Health Dual Eligible: $93.19 Aetna Better Health — Aetna Better Health Medicaid: $41.41 BCBS — BCBS Ill Dual Eligible: $84.31 BCBS — BCBS Ill Medicare HMO/PPO: $88.75 BCBS — BCBS Medicaid: $41.41 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: DX MAMMO INCL CAD UNI	$769	$88	$41.41 – $769
Diagnostic mammogram, one breast: 10 of 44 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $106.50 Aetna — Aetna Medicare: $88.75 Aetna — Aetna Network: $137.56 Aetna Better Health — Aetna Better Health Dual Eligible: $93.19 BCBS — BCBS Ill Dual Eligible: $84.31 BCBS — BCBS Ill Medicare HMO/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, one breast CPT 77065 · Outpatient (no overnight stay) In the file: MAMMOGRAM UNILAT BREAST RT	$769	$88	$41.41 – $769
Diagnostic mammogram, one breast: 10 of 44 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $106.50 Aetna — Aetna Medicare: $88.75 Aetna — Aetna Network: $137.56 Aetna Better Health — Aetna Better Health Dual Eligible: $93.19 BCBS — BCBS Ill Dual Eligible: $84.31 BCBS — BCBS Ill Medicare HMO/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: MAMMOGRAM BREAST BILAT	$892	$114	$41.41 – $892
Diagnostic mammogram, both breasts: 10 of 48 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $136.85 Aetna — Aetna Medicare: $114.04 Aetna — Aetna Network: $176.76 Aetna Better Health — Aetna Better Health Dual Eligible: $119.74 Aetna Better Health — Aetna Better Health Medicaid: $41.41 BCBS — BCBS Ill Dual Eligible: $108.34 BCBS — BCBS Ill Medicare HMO/PPO: $114.04 BCBS — BCBS Medicaid: $41.41 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 MAM BILAT	$892	$114	$41.41 – $892
Diagnostic mammogram, both breasts: 10 of 42 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $136.85 Aetna — Aetna Medicare: $114.04 Aetna — Aetna Network: $176.76 Aetna Better Health — Aetna Better Health Dual Eligible: $119.74 BCBS — BCBS Ill Dual Eligible: $108.34 BCBS — BCBS Ill Medicare HMO/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
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: DX MAMMO INCL CAD BILAT	$892	$114	$41.41 – $892
Diagnostic mammogram, both breasts: 10 of 42 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $136.85 Aetna — Aetna Medicare: $114.04 Aetna — Aetna Network: $176.76 Aetna Better Health — Aetna Better Health Dual Eligible: $119.74 BCBS — BCBS Ill Dual Eligible: $108.34 BCBS — BCBS Ill Medicare HMO/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: MCA SCREENING DIGITAL MAMM BI	$736	$93	$41.41 – $736
Screening mammogram, both breasts: 10 of 51 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $112.68 Aetna — Aetna Medicare: $93.90 Aetna — Aetna Network: $145.55 Aetna Better Health — Aetna Better Health Dual Eligible: $98.60 Aetna Better Health — Aetna Better Health Medicaid: $41.41 BCBS — BCBS Ill Dual Eligible: $89.21 BCBS — BCBS Ill Medicare HMO/PPO: $93.90 BCBS — BCBS Medicaid: $41.41 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 SCREEN MAMM	$736	$93	$41.41 – $736
Screening mammogram, both breasts: 10 of 45 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $112.68 Aetna — Aetna Medicare: $93.90 Aetna — Aetna Network: $145.55 Aetna Better Health — Aetna Better Health Dual Eligible: $98.60 BCBS — BCBS Ill Dual Eligible: $89.21 BCBS — BCBS Ill Medicare HMO/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 W/CAD RIGHT	$736	$93	$41.41 – $736
Screening mammogram, both breasts: 10 of 45 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $112.68 Aetna — Aetna Medicare: $93.90 Aetna — Aetna Network: $145.55 Aetna Better Health — Aetna Better Health Dual Eligible: $98.60 BCBS — BCBS Ill Dual Eligible: $89.21 BCBS — BCBS Ill Medicare HMO/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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: LEFT HEART CATH/LV	$14,232	$3,457	$663.63 – $14,232
Left heart catheterization (diagnostic): 10 of 47 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $4,148.51 Aetna — Aetna Commercial: $6,753 Aetna — Aetna Medicare: $3,457.09 Aetna — Aetna Network: $5,358.49 Aetna Better Health — Aetna Better Health Dual Eligible: $3,629.94 Aetna Better Health — Aetna Better Health Medicaid: $2,092 BCBS — BCBS Ill Dual Eligible: $3,284.24 BCBS — BCBS Ill Medicare HMO/PPO: $3,457.09 BCBS — BCBS Medicaid: $2,092 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	$8,303	$8,317	$232 – $8,303
Heart rhythm study (electrophysiology evaluation): 10 of 46 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $8,303 Aetna — Aetna Medicare: $8,303 Aetna — Aetna Network: $8,303 Aetna Better Health — Aetna Better Health Dual Eligible: $8,303 Aetna Better Health — Aetna Better Health Medicaid: $5,524.79 BCBS — BCBS Ill Dual Eligible: $7,901.44 BCBS — BCBS Ill Medicare HMO/PPO: $8,303 BCBS — BCBS Medicaid: $5,524.79 BCBS — BCBS MyBlue plus POS: $8,303 BCBS — BCBS Smart Health Care: $8,303
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: COMP EPS TRSEP W ABLAT AF PVI	$68,330	$27,872	$914.63 – $68,330
Heart rhythm study with ablation for atrial fibrillation: 10 of 45 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $33,447.07 Aetna — Aetna Medicare: $27,872.56 Aetna — Aetna Network: $43,202.47 Aetna Better Health — Aetna Better Health Dual Eligible: $29,266.19 Aetna Better Health — Aetna Better Health Medicaid: $15,156.12 BCBS — BCBS Ill Dual Eligible: $26,478.93 BCBS — BCBS Ill Medicare HMO/PPO: $27,872.56 BCBS — BCBS Medicaid: $15,156.12 BCBS — BCBS MyBlue plus POS: $37,627.96 BCBS — BCBS Smart Health Care: $39,021.58
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: POLYSOMNOGRAPHY FULL NIGHT	$10,955	$915	$572.81 – $10,955
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 Commercial: $972 Aetna — Aetna Medicare: $915.73 Aetna — Aetna Network: $1,419.38 Aetna Better Health — Aetna Better Health Dual Eligible: $961.52 Aetna Better Health — Aetna Better Health Medicaid: $685.46 BCBS — BCBS Ill Dual Eligible: $869.94 BCBS — BCBS Ill Medicare HMO/PPO: $915.73 BCBS — BCBS Medicaid: $685.46 BCBS — BCBS MyBlue plus POS: $1,236.24
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: MODIFIED SLEEP STUDY	$10,955	$915	$572.81 – $10,955
Sleep study (overnight, in a sleep lab): 10 of 41 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $1,098.88 Aetna — Aetna Commercial: $972 Aetna — Aetna Medicare: $915.73 Aetna — Aetna Network: $1,419.38 Aetna Better Health — Aetna Better Health Dual Eligible: $961.52 BCBS — BCBS Ill Dual Eligible: $869.94 BCBS — BCBS Ill Medicare HMO/PPO: $915.73 BCBS — BCBS MyBlue plus POS: $1,236.24 BCBS — BCBS Smart Health Care: $1,282.02 Celtic (Ambetter) — Celtic Insurance Company (Ambetter) Exchange: $1,483.48
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: POLYSOMNOGRAPHY 1/2 NIGHT	$4,204	$915	$572.81 – $10,955
Sleep study (overnight, in a sleep lab): 10 of 41 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $1,098.88 Aetna — Aetna Commercial: $972 Aetna — Aetna Medicare: $915.73 Aetna — Aetna Network: $1,419.38 Aetna Better Health — Aetna Better Health Dual Eligible: $961.52 BCBS — BCBS Ill Dual Eligible: $869.94 BCBS — BCBS Ill Medicare HMO/PPO: $915.73 BCBS — BCBS MyBlue plus POS: $1,236.24 BCBS — BCBS Smart Health Care: $1,282.02 Celtic (Ambetter) — Celtic Insurance Company (Ambetter) Exchange: $1,483.48

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: THERAPEUTIC EXERCISE/EA 15 - 97110 - 42000330	$305	$29	$28.30 – $305
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 47 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $35.75 Aetna — Aetna Medicare: $29.79 Aetna — Aetna Network: $46.17 Aetna Better Health — Aetna Better Health Dual Eligible: $31.28 BCBS — BCBS Ill Dual Eligible: $28.30 BCBS — BCBS Ill Medicare HMO/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: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: THERAPEUTIC EXERCISE/EA 15 - 97110 - 43000330	$305	$29	$28.30 – $305
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 45 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $35.75 Aetna — Aetna Medicare: $29.79 Aetna — Aetna Network: $46.17 Aetna Better Health — Aetna Better Health Dual Eligible: $31.28 BCBS — BCBS Ill Dual Eligible: $28.30 BCBS — BCBS Ill Medicare HMO/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: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: PHASE 1 ROM EACH 15 MINUTES	Not listed in the file	$29	$28.30 – $305
Physical therapy: therapeutic exercise (each 15 minutes): rates for 4 insurance plans Aetna — Aetna Commercial: 63.1% (a percentage in the contract, not a dollar amount) Auto Insurance — Auto Insurance: 80% (a percentage in the contract, not a dollar amount) Cigna — Cigna Commercial: 82% (a percentage in the contract, not a dollar amount) Keenan — Keenan: 30% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: IFSP LOW COMPLEXITY - PT	$661	$99	$94.74 – $661
Physical therapy evaluation (low complexity): 10 of 48 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $119.68 Aetna — Aetna Medicare: $99.73 Aetna — Aetna Network: $154.58 Aetna Better Health — Aetna Better Health Dual Eligible: $104.72 Aetna Better Health — Aetna Better Health Medicaid: $164.34 BCBS — BCBS Ill Dual Eligible: $94.74 BCBS — BCBS Ill Medicare HMO/PPO: $99.73 BCBS — BCBS Medicaid: $164.34 BCBS — BCBS MyBlue plus POS: $134.64 BCBS — BCBS Smart Health Care: $139.62
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: PT EVAL LOW COMPLEXITY	$661	$99	$94.74 – $661
Physical therapy evaluation (low complexity): 10 of 42 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $119.68 Aetna — Aetna Medicare: $99.73 Aetna — Aetna Network: $154.58 Aetna Better Health — Aetna Better Health Dual Eligible: $104.72 BCBS — BCBS Ill Dual Eligible: $94.74 BCBS — BCBS Ill Medicare HMO/PPO: $99.73 BCBS — BCBS MyBlue plus POS: $134.64 BCBS — BCBS Smart Health Care: $139.62 Celtic (Ambetter) — Celtic Insurance Company (Ambetter) Exchange: $161.56 Celtic (WellCare) — Celtic WellCare Complete (WellCare) Medicare: $99.73
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: IFSP MODERATE COMPLEXITY - PT	$728	$99	$94.75 – $728
Physical therapy evaluation (moderate complexity): 10 of 48 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $119.69 Aetna — Aetna Medicare: $99.74 Aetna — Aetna Network: $154.60 Aetna Better Health — Aetna Better Health Dual Eligible: $104.73 Aetna Better Health — Aetna Better Health Medicaid: $164.34 BCBS — BCBS Ill Dual Eligible: $94.75 BCBS — BCBS Ill Medicare HMO/PPO: $99.74 BCBS — BCBS Medicaid: $164.34 BCBS — BCBS MyBlue plus POS: $134.65 BCBS — BCBS Smart Health Care: $139.64
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: PT EVAL MODERATE COMPLEXITY	$728	$99	$94.75 – $728
Physical therapy evaluation (moderate complexity): 10 of 42 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $119.69 Aetna — Aetna Medicare: $99.74 Aetna — Aetna Network: $154.60 Aetna Better Health — Aetna Better Health Dual Eligible: $104.73 BCBS — BCBS Ill Dual Eligible: $94.75 BCBS — BCBS Ill Medicare HMO/PPO: $99.74 BCBS — BCBS MyBlue plus POS: $134.65 BCBS — BCBS Smart Health Care: $139.64 Celtic (Ambetter) — Celtic Insurance Company (Ambetter) Exchange: $161.58 Celtic (WellCare) — Celtic WellCare Complete (WellCare) Medicare: $99.74
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: PT EVAL HIGH COMPLEXITY	$802	$99	$94.76 – $802
Physical therapy evaluation (high complexity): 10 of 47 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $119.70 Aetna — Aetna Medicare: $99.75 Aetna — Aetna Network: $154.61 Aetna Better Health — Aetna Better Health Dual Eligible: $104.74 Aetna Better Health — Aetna Better Health Medicaid: $164.34 BCBS — BCBS Ill Dual Eligible: $94.76 BCBS — BCBS Ill Medicare HMO/PPO: $99.75 BCBS — BCBS Medicaid: $164.34 BCBS — BCBS MyBlue plus POS: $134.66 BCBS — BCBS Smart Health Care: $139.65
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: IFSP HIGH COMPLEXITY - PT	$802	$99	$94.76 – $802
Physical therapy evaluation (high complexity): 10 of 41 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $119.70 Aetna — Aetna Medicare: $99.75 Aetna — Aetna Network: $154.61 Aetna Better Health — Aetna Better Health Dual Eligible: $104.74 BCBS — BCBS Ill Dual Eligible: $94.76 BCBS — BCBS Ill Medicare HMO/PPO: $99.75 BCBS — BCBS MyBlue plus POS: $134.66 BCBS — BCBS Smart Health Care: $139.65 Celtic (Ambetter) — Celtic Insurance Company (Ambetter) Exchange: $161.60 Celtic (WellCare) — Celtic WellCare Complete (WellCare) Medicare: $99.75
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: FAMILY THERAPY W/O PT EA 50MIN	$315	$189	$56.38 – $315
Family psychotherapy, without the patient: 10 of 45 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $227.12 Aetna — Aetna Medicare: $189.27 Aetna — Aetna Network: $293.37 Aetna Better Health — Aetna Better Health Dual Eligible: $198.73 Aetna Better Health — Aetna Better Health Medicaid: $146.16 BCBS — BCBS Ill Dual Eligible: $179.81 BCBS — BCBS Ill Medicare HMO/PPO: $189.27 BCBS — BCBS Medicaid: $146.16 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	$365	$189	$65.33 – $365
Family psychotherapy, with the patient: 10 of 46 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $227.12 Aetna — Aetna Medicare: $189.27 Aetna — Aetna Network: $293.37 Aetna Better Health — Aetna Better Health Dual Eligible: $198.73 Aetna Better Health — Aetna Better Health Medicaid: $146.16 BCBS — BCBS Ill Dual Eligible: $179.81 BCBS — BCBS Ill Medicare HMO/PPO: $189.27 BCBS — BCBS Medicaid: $146.16 BCBS — BCBS MyBlue plus POS: $255.51 BCBS — BCBS Smart Health Care: $264.98
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: RECREATION THERAPY GROUP	$212	$108	$24.84 – $900
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 — Aetna Network: $167.91 Aetna Better Health — Aetna Better Health Dual Eligible: $113.75 Aetna Better Health — Aetna Better Health Medicaid: $204.26 BCBS — BCBS Ill Dual Eligible: $102.91 BCBS — BCBS Ill Medicare HMO/PPO: $108.33 BCBS — BCBS Medicaid: $204.26 BCBS — BCBS MyBlue plus POS: $146.25 BCBS — BCBS Smart Health Care: $151.66
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: PHP LESS INTENSIVE	$448	$108	$24.84 – $900
Group psychotherapy: 10 of 46 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $130 Aetna — Aetna Medicare: $108.33 Aetna — Aetna Network: $167.91 Aetna Better Health — Aetna Better Health Dual Eligible: $113.75 APS Healthcare — APS Healthcare Behavioral Health: $275 BCBS — BCBS Ill Dual Eligible: $102.91 BCBS — BCBS Ill Medicare HMO/PPO: $108.33 BCBS — BCBS MyBlue plus POS: $146.25 BCBS — BCBS Smart Health Care: $151.66 Celtic (Ambetter) — Celtic Insurance Company (Ambetter) Exchange: $175.49
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: WHOLE DAY ADOL PHP	$900	$108	$24.84 – $900
Group psychotherapy: 10 of 46 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $130 Aetna — Aetna Medicare: $108.33 Aetna — Aetna Network: $167.91 Aetna Better Health — Aetna Better Health Dual Eligible: $113.75 APS Healthcare — APS Healthcare Behavioral Health: $275 BCBS — BCBS Ill Dual Eligible: $102.91 BCBS — BCBS Ill Medicare HMO/PPO: $108.33 BCBS — BCBS MyBlue plus POS: $146.25 BCBS — BCBS Smart Health Care: $151.66 Celtic (Ambetter) — Celtic Insurance Company (Ambetter) Exchange: $175.49

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	$8,604	$4,175	$451.06 – $8,604
Removal of breast growth (open surgery): 10 of 52 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $5,010.35 Aetna — Aetna Medicare: $4,175.29 Aetna — Aetna Network: $6,471.70 Aetna Better Health — Aetna Better Health Dual Eligible: $4,384.05 Aetna Better Health — Aetna Better Health Medicaid: $1,153.64 BCBS — BCBS Ill Dual Eligible: $3,966.53 BCBS — BCBS Ill Medicare HMO/PPO: $4,175.29 BCBS — BCBS Medicaid: $1,153.64 BCBS — BCBS MyBlue plus POS: $5,636.64 BCBS — BCBS Smart Health Care: $5,845.41
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: Total hip arthroplasty	$24,264	$13,690	$1,281.40 – $24,264
Total hip replacement: 10 of 45 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $16,428.90 Aetna — Aetna Medicare: $13,690.75 Aetna — Aetna Network: $21,220.66 Aetna Better Health — Aetna Better Health Dual Eligible: $14,375.29 Aetna Better Health — Aetna Better Health Medicaid: $8,227.52 BCBS — BCBS Ill Dual Eligible: $13,006.21 BCBS — BCBS Ill Medicare HMO/PPO: $13,690.75 BCBS — BCBS Medicaid: $8,227.52 BCBS — BCBS MyBlue plus POS: $18,482.51 BCBS — BCBS Smart Health Care: $19,167.05
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: Total knee arthroplasty	$25,399	$13,690	$1,277.91 – $25,399
Total knee replacement: 10 of 45 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $16,428.90 Aetna — Aetna Medicare: $13,690.75 Aetna — Aetna Network: $21,220.66 Aetna Better Health — Aetna Better Health Dual Eligible: $14,375.29 Aetna Better Health — Aetna Better Health Medicaid: $8,227.52 BCBS — BCBS Ill Dual Eligible: $13,006.21 BCBS — BCBS Ill Medicare HMO/PPO: $13,690.75 BCBS — BCBS Medicaid: $8,227.52 BCBS — BCBS MyBlue plus POS: $18,482.51 BCBS — BCBS Smart Health Care: $19,167.05
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: Sho arthrs srg decompression	$7,389.12	Not listed in the file	$164.09 – $7,389.12
Shoulder arthroscopy: shaving of shoulder bone: 10 of 12 insurance plan rates Aetna Better Health — Aetna Better Health Medicaid: $1,854.92 BCBS — BCBS Medicaid: $1,854.92 Cigna — Cigna Commercial: $4,550 Cigna — CIGNA EXCHANGE: $558 Humana — Humana Medicaid: $1,854.92 Imagine Health Network, Inc. — Imagine Health Network Commercial: $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 Resurrection Physicians Provider Group — Resurrection Physician Provider Group 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	$16,469	$3,489	$559.90 – $16,469
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 — Aetna Network: $5,408.18 Aetna Better Health — Aetna Better Health Dual Eligible: $3,663.61 Aetna Better Health — Aetna Better Health Medicaid: $1,854.92 BCBS — BCBS Ill Dual Eligible: $3,314.69 BCBS — BCBS Ill Medicare HMO/PPO: $3,489.15 BCBS — BCBS Medicaid: $1,854.92 BCBS — BCBS MyBlue plus POS: $4,710.35 BCBS — BCBS Smart Health Care: $4,884.81
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: Remove tonsils and adenoids - 42820 - OR36042820	$9,749	$6,312	$279.84 – $9,749
Removal of tonsils and adenoids (under age 12): 10 of 50 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $7,575.25 Aetna — Aetna Medicare: $6,312.71 Aetna — Aetna Network: $9,749 Aetna Better Health — Aetna Better Health Dual Eligible: $6,628.35 Aetna Better Health — Aetna Better Health Medicaid: $1,721.16 BCBS — BCBS Ill Dual Eligible: $5,997.07 BCBS — BCBS Ill Medicare HMO/PPO: $6,312.71 BCBS — BCBS Medicaid: $1,721.16 BCBS — BCBS MyBlue plus POS: $8,522.16 BCBS — BCBS Smart Health Care: $8,837.79
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Egd diagnostic brush wash	$4,390.44	$967	$118.15 – $4,390.44
Upper GI endoscopy (diagnostic): 10 of 50 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $1,160.62 Aetna — Aetna Medicare: $967.18 Aetna — Aetna Network: $1,499.13 Aetna Better Health — Aetna Better Health Dual Eligible: $1,015.54 Aetna Better Health — Aetna Better Health Medicaid: $836.35 BCBS — BCBS Ill Dual Eligible: $918.82 BCBS — BCBS Ill Medicare HMO/PPO: $967.18 BCBS — BCBS Medicaid: $836.35 BCBS — BCBS MyBlue plus POS: $1,305.69 BCBS — BCBS Smart Health Care: $1,354.05
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Egd biopsy singlemultiple	$8,323.42	$967	$132.08 – $8,323.42
Upper GI endoscopy with biopsy: 10 of 51 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $1,160.62 Aetna — Aetna Medicare: $967.18 Aetna — Aetna Network: $1,499.13 Aetna Better Health — Aetna Better Health Dual Eligible: $1,015.54 Aetna Better Health — Aetna Better Health Medicaid: $836.35 BCBS — BCBS Ill Dual Eligible: $918.82 BCBS — BCBS Ill Medicare HMO/PPO: $967.18 BCBS — BCBS Medicaid: $836.35 BCBS — BCBS MyBlue plus POS: $1,305.69 BCBS — BCBS Smart Health Care: $1,354.05
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Diagnostic colonoscopy	$4,464.67	$991	$177.19 – $4,464.67
Colonoscopy (diagnostic): 10 of 50 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $1,190 Aetna — Aetna Medicare: $991.67 Aetna — Aetna Network: $1,537.09 Aetna Better Health — Aetna Better Health Dual Eligible: $1,041.25 Aetna Better Health — Aetna Better Health Medicaid: $854.60 BCBS — BCBS Ill Dual Eligible: $942.09 BCBS — BCBS Ill Medicare HMO/PPO: $991.67 BCBS — BCBS Medicaid: $854.60 BCBS — BCBS MyBlue plus POS: $1,338.75 BCBS — BCBS Smart Health Care: $1,388.34
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Colonoscopy and biopsy	$6,552	$1,276	$190.62 – $6,552
Colonoscopy with biopsy: 10 of 51 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $1,531.27 Aetna — Aetna Medicare: $1,276.06 Aetna — Aetna Network: $1,977.89 Aetna Better Health — Aetna Better Health Dual Eligible: $1,339.86 Aetna Better Health — Aetna Better Health Medicaid: $854.60 BCBS — BCBS Ill Dual Eligible: $1,212.26 BCBS — BCBS Ill Medicare HMO/PPO: $1,276.06 BCBS — BCBS Medicaid: $854.60 BCBS — BCBS MyBlue plus POS: $1,722.68 BCBS — BCBS Smart Health Care: $1,786.48
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Colonoscopy w/lesion removal	$9,114	$1,276	$239.20 – $9,114
Colonoscopy with removal of polyps (snare): 10 of 50 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $1,531.27 Aetna — Aetna Medicare: $1,276.06 Aetna — Aetna Network: $1,977.89 Aetna Better Health — Aetna Better Health Dual Eligible: $1,339.86 Aetna Better Health — Aetna Better Health Medicaid: $854.60 BCBS — BCBS Ill Dual Eligible: $1,212.26 BCBS — BCBS Ill Medicare HMO/PPO: $1,276.06 BCBS — BCBS Medicaid: $854.60 BCBS — BCBS MyBlue plus POS: $1,722.68 BCBS — BCBS Smart Health Care: $1,786.48
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Laparoscopic cholecystectomy	$20,307	$6,446	$708.63 – $20,307
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 — Aetna Network: $9,992.46 Aetna Better Health — Aetna Better Health Dual Eligible: $6,769.09 Aetna Better Health — Aetna Better Health Medicaid: $2,977.43 BCBS — BCBS Ill Dual Eligible: $6,124.41 BCBS — BCBS Ill Medicare HMO/PPO: $6,446.75 BCBS — BCBS Medicaid: $2,977.43 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	$11,823	$3,818	$567.57 – $11,823
Groin (inguinal) hernia repair, age 5 or older: 10 of 50 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $4,581.62 Aetna — Aetna Medicare: $3,818.02 Aetna — Aetna Network: $5,917.93 Aetna Better Health — Aetna Better Health Dual Eligible: $4,008.92 Aetna Better Health — Aetna Better Health Medicaid: $3,055.71 BCBS — BCBS Ill Dual Eligible: $3,627.12 BCBS — BCBS Ill Medicare HMO/PPO: $3,818.02 BCBS — BCBS Medicaid: $3,055.71 BCBS — BCBS MyBlue plus POS: $5,154.33 BCBS — BCBS Smart Health Care: $5,345.23
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: BX, PROSTATE	$2,096	$2,138	$375.18 – $7,006
Prostate biopsy: 10 of 49 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $2,096 Aetna — Aetna Medicare: $2,096 Aetna — Aetna Network: $2,096 Aetna Better Health — Aetna Better Health Dual Eligible: $2,096 Aetna Better Health — Aetna Better Health Medicaid: $1,476.29 BCBS — BCBS Ill Dual Eligible: $2,031.24 BCBS — BCBS Ill Medicare HMO/PPO: $2,096 BCBS — BCBS Medicaid: $1,476.29 BCBS — BCBS MyBlue plus POS: $2,096 BCBS — BCBS Smart Health Care: $2,096
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: Biopsy of prostate	$7,006	$2,138	$375.18 – $7,006
Prostate biopsy: 10 of 43 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $2,565.78 Aetna — Aetna Medicare: $2,138.15 Aetna — Aetna Network: $3,314.13 Aetna Better Health — Aetna Better Health Dual Eligible: $2,245.06 BCBS — BCBS Ill Dual Eligible: $2,031.24 BCBS — BCBS Ill Medicare HMO/PPO: $2,138.15 BCBS — BCBS MyBlue plus POS: $2,886.50 BCBS — BCBS Smart Health Care: $2,993.41 Celtic (Ambetter) — Celtic Insurance Company (Ambetter) Exchange: $3,463.80 Celtic (WellCare) — Celtic WellCare Complete (WellCare) Medicare: $2,138.15
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: Laps surg prst8ect rpbic rad	$44,526	$11,335	$1,166.86 – $44,526
Prostate removal by laparoscope (radical prostatectomy): 10 of 45 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $13,602.36 Aetna — Aetna Medicare: $11,335.30 Aetna — Aetna Network: $17,569.72 Aetna Better Health — Aetna Better Health Dual Eligible: $11,902.07 Aetna Better Health — Aetna Better Health Medicaid: $3,816.21 BCBS — BCBS Ill Dual Eligible: $10,768.54 BCBS — BCBS Ill Medicare HMO/PPO: $11,335.30 BCBS — BCBS Medicaid: $3,816.21 BCBS — BCBS MyBlue plus POS: $15,302.66 BCBS — BCBS Smart Health Care: $15,869.42
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: Hysteroscopy biopsy	$11,432	$3,451	$225.13 – $11,432
Hysteroscopy with biopsy of the uterus lining: 10 of 51 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $4,142.35 Aetna — Aetna Medicare: $3,451.96 Aetna — Aetna Network: $5,350.54 Aetna Better Health — Aetna Better Health Dual Eligible: $3,624.56 Aetna Better Health — Aetna Better Health Medicaid: $2,015.47 BCBS — BCBS Ill Dual Eligible: $3,279.36 BCBS — BCBS Ill Medicare HMO/PPO: $3,451.96 BCBS — BCBS Medicaid: $2,015.47 BCBS — BCBS MyBlue plus POS: $4,660.15 BCBS — BCBS Smart Health Care: $4,832.74
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: INJ INTERLAMNR LUMB/SAC W/GUID - 62323 - 76100555	$2,106	$752	$94.64 – $3,734
Spinal injection, lower back (epidural), with imaging guidance: 10 of 46 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $903.26 Aetna — Aetna Medicare: $752.72 Aetna — Aetna Network: $1,166.72 Aetna Better Health — Aetna Better Health Dual Eligible: $790.36 Aetna Better Health — Aetna Better Health Medicaid: $662.48 BCBS — BCBS Ill Dual Eligible: $715.08 BCBS — BCBS Ill Medicare HMO/PPO: $752.72 BCBS — BCBS Medicaid: $662.48 BCBS — BCBS MyBlue plus POS: $1,016.17 BCBS — BCBS Smart Health Care: $1,053.81
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: INJ INTERLAMNR LUMB/SAC W/GUID - 62323 - 36101165	$2,106	$752	$94.64 – $3,734
Spinal injection, lower back (epidural), with imaging guidance: 10 of 39 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $903.26 Aetna — Aetna Medicare: $752.72 Aetna — Aetna Network: $1,166.72 Aetna Better Health — Aetna Better Health Dual Eligible: $790.36 BCBS — BCBS Ill Dual Eligible: $715.08 BCBS — BCBS Ill Medicare HMO/PPO: $752.72 BCBS — BCBS MyBlue plus POS: $1,016.17 BCBS — BCBS Smart Health Care: $1,053.81 Celtic (Ambetter) — Celtic Insurance Company (Ambetter) Exchange: $1,219.41 Celtic (WellCare) — Celtic WellCare Complete (WellCare) Medicare: $752.72
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Njx interlaminar lmbr/sac - 62323 - OR36062323	$3,734	$752	$94.64 – $3,734
Spinal injection, lower back (epidural), with imaging guidance: 10 of 39 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $903.26 Aetna — Aetna Medicare: $752.72 Aetna — Aetna Network: $1,166.72 Aetna Better Health — Aetna Better Health Dual Eligible: $790.36 BCBS — BCBS Ill Dual Eligible: $715.08 BCBS — BCBS Ill Medicare HMO/PPO: $752.72 BCBS — BCBS MyBlue plus POS: $1,016.17 BCBS — BCBS Smart Health Care: $1,053.81 Celtic (Ambetter) — Celtic Insurance Company (Ambetter) Exchange: $1,219.41 Celtic (WellCare) — Celtic WellCare Complete (WellCare) Medicare: $752.72
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: NRV BLK TRNF EPI LUMB COMP BI - 64483 - 761000115	$4,873	$943	$105.22 – $5,380
Nerve root injection, lower back, with imaging guidance: 10 of 53 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $1,131.80 Aetna — Aetna Medicare: $943.17 Aetna — Aetna Network: $1,461.91 Aetna Better Health — Aetna Better Health Dual Eligible: $990.33 Aetna Better Health — Aetna Better Health Medicaid: $662.48 BCBS — BCBS Ill Dual Eligible: $896.01 BCBS — BCBS Ill Medicare HMO/PPO: $943.17 BCBS — BCBS Medicaid: $662.48 BCBS — BCBS MyBlue plus POS: $1,273.28 BCBS — BCBS Smart Health Care: $1,320.44
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: NRV BLD TRANF EPI LUMB	$3,248	$943	$105.22 – $5,380
Nerve root injection, lower back, with imaging guidance: 10 of 47 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $1,131.80 Aetna — Aetna Medicare: $943.17 Aetna — Aetna Network: $1,461.91 Aetna Better Health — Aetna Better Health Dual Eligible: $990.33 BCBS — BCBS Ill Dual Eligible: $896.01 BCBS — BCBS Ill Medicare HMO/PPO: $943.17 BCBS — BCBS MyBlue plus POS: $1,273.28 BCBS — BCBS Smart Health Care: $1,320.44 Celtic (Ambetter) — Celtic Insurance Company (Ambetter) Exchange: $1,527.94 Celtic (WellCare) — Celtic WellCare Complete (WellCare) Medicare: $943.17
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: NRV BLK TRNF EPI LUMB COMPLETE - 64483 - 36001425	$3,248	$943	$105.22 – $5,380
Nerve root injection, lower back, with imaging guidance: 10 of 47 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $1,131.80 Aetna — Aetna Medicare: $943.17 Aetna — Aetna Network: $1,461.91 Aetna Better Health — Aetna Better Health Dual Eligible: $990.33 BCBS — BCBS Ill Dual Eligible: $896.01 BCBS — BCBS Ill Medicare HMO/PPO: $943.17 BCBS — BCBS MyBlue plus POS: $1,273.28 BCBS — BCBS Smart Health Care: $1,320.44 Celtic (Ambetter) — Celtic Insurance Company (Ambetter) Exchange: $1,527.94 Celtic (WellCare) — Celtic WellCare Complete (WellCare) Medicare: $943.17
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Carpal tunnel surgery	$7,586	$2,082	$456.01 – $7,586
Carpal tunnel release: 10 of 50 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $2,498.78 Aetna — Aetna Medicare: $2,082.32 Aetna — Aetna Network: $3,227.60 Aetna Better Health — Aetna Better Health Dual Eligible: $2,186.44 Aetna Better Health — Aetna Better Health Medicaid: $1,167.59 BCBS — BCBS Ill Dual Eligible: $1,978.20 BCBS — BCBS Ill Medicare HMO/PPO: $2,082.32 BCBS — BCBS Medicaid: $1,167.59 BCBS — BCBS MyBlue plus POS: $2,811.13 BCBS — BCBS Smart Health Care: $2,915.25
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: Xcapsl ctrc rmvl w/o ecp	$8,639	$2,460	$483.74 – $8,639
Cataract removal with lens implant: 10 of 51 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $2,953.18 Aetna — Aetna Medicare: $2,460.98 Aetna — Aetna Network: $3,814.52 Aetna Better Health — Aetna Better Health Dual Eligible: $2,584.03 Aetna Better Health — Aetna Better Health Medicaid: $1,480.09 BCBS — BCBS Ill Dual Eligible: $2,337.93 BCBS — BCBS Ill Medicare HMO/PPO: $2,460.98 BCBS — BCBS Medicaid: $1,480.09 BCBS — BCBS MyBlue plus POS: $3,322.32 BCBS — BCBS Smart Health Care: $3,445.37

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	$75,606	$56,896.07 – $230,315.95
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 39 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $90,727.24 Aetna — Aetna Medicare: $75,358.60 Aetna Better Health — Aetna Better Health Dual Eligible: $79,126.53 BCBS — BCBS Blue Choice: $99,557.99 BCBS — BCBS Blue Choice Options: $97,670.11 BCBS — BCBS Blue Choice Preferred: $98,137.04 BCBS — BCBS HMO: $104,653.07 BCBS — BCBS Ill Dual Eligible: $71,590.67 BCBS — BCBS Ill Medicare HMO/PPO: $75,358.60 BCBS — BCBS MyBlue plus POS: $94,507.54
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	$15,508	$12,317.96 – $31,180.22
Hip or knee replacement (major joint of the leg), without major complications: 10 of 39 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $18,609.79 Aetna — Aetna Medicare: $15,459.40 Aetna Better Health — Aetna Better Health Dual Eligible: $16,232.37 BCBS — BCBS Blue Choice: $19,630.11 BCBS — BCBS Blue Choice Options: $19,257.87 BCBS — BCBS Blue Choice Preferred: $19,349.93 BCBS — BCBS HMO: $20,634.72 BCBS — BCBS Ill Dual Eligible: $14,686.43 BCBS — BCBS Ill Medicare HMO/PPO: $15,459.40 BCBS — BCBS MyBlue plus POS: $19,385.20
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	$19,429	$18,398.94 – $32,200.11
Neck (cervical) spinal fusion, without complications: 10 of 39 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $23,314.84 Aetna — Aetna Medicare: $19,367.30 Aetna Better Health — Aetna Better Health Dual Eligible: $20,335.67 BCBS — BCBS Blue Choice: $24,844.72 BCBS — BCBS Blue Choice Options: $24,373.60 BCBS — BCBS Blue Choice Preferred: $24,490.12 BCBS — BCBS HMO: $26,116.20 BCBS — BCBS Ill Dual Eligible: $18,398.94 BCBS — BCBS Ill Medicare HMO/PPO: $19,367.30 BCBS — BCBS MyBlue plus POS: $24,286.29
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	$10,242	$7,923.11 – $26,152.66
Uterus and ovary surgery (not for cancer), without complications: 10 of 39 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $12,290.48 Aetna — Aetna Medicare: $10,210.70 Aetna Better Health — Aetna Better Health Dual Eligible: $10,721.24 BCBS — BCBS Blue Choice: $12,626.41 BCBS — BCBS Blue Choice Options: $12,386.98 BCBS — BCBS Blue Choice Preferred: $12,446.19 BCBS — BCBS HMO: $13,272.59 BCBS — BCBS Ill Dual Eligible: $9,700.17 BCBS — BCBS Ill Medicare HMO/PPO: $10,210.70 BCBS — BCBS MyBlue plus POS: $12,802.59

Source: Saint Joseph Medical Center’s standard charges file (saintjosephmedicalcenter.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 type	Acute Care Hospital
Address	333 N Madison St, Joliet, IL 60435
County	Will County
State	Illinois
Phone	(815) 725‑7133
Emergency services	Yes
Ownership	Voluntary non-profit - Church
Medicare overall rating	1 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	140007
Name in Medicare records	SAINT JOSEPH MEDICAL CENTER
Profile level	Medicare data + hospital website
Official website	saintjosephmedicalcenter.com
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 Joseph Medical Center (Joliet, IL) — saintjosephmedicalcenter.com
Our Services — saintjosephmedicalcenter.com
Visitor Information — saintjosephmedicalcenter.com

Saint Joseph Medical Center

Summary

Profile from official sources

At a glance