Does Sarah Bush Lincoln Health Center have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Sarah Bush Lincoln Health Center. In a medical emergency, call 911.

Where is Sarah Bush Lincoln Health Center?

1000 Health Center Drive P O Box 372, Mattoon, IL 61938, in Coles County, Illinois.

What is the phone number of Sarah Bush Lincoln Health Center?

(217) 258-2513, as listed by Medicare (CMS).

What is the Medicare star rating of Sarah Bush Lincoln Health Center?

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

Sarah Bush Lincoln Health Center — Mattoon, IL

Quick answers

Does Sarah Bush Lincoln Health Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Sarah Bush Lincoln Health Center. In a medical emergency, call 911.
Where is Sarah Bush Lincoln Health Center?: 1000 Health Center Drive P O Box 372, Mattoon, IL 61938, in Coles County, Illinois.
What is the phone number of Sarah Bush Lincoln Health Center?: (217) 258-2513, as listed by Medicare (CMS).
What is the Medicare star rating of Sarah Bush Lincoln Health Center?: 3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[7][8][10]

Conditions treated^[10]

Atrial fibrillation
Atrial flutter
Supraventricular tachycardia
Heart failure
Acute limb ischemia
Deep vein thrombosis
Pulmonary embolism

Treatments^[10]

Catheter ablation
Cardiac resynchronization therapy (CRT) device implantation
Cardioversion
Pacemaker implantation
Implantable cardioverter defibrillator (ICD) implantation
Tilt table testing
Cardiac monitor insertion (loop recorder)
CardioMEMS heart failure sensor placement
Percutaneous coronary intervention (angioplasty with stent)
Intra-aortic balloon pump
Renal denervation therapy
Renal artery angioplasty and stenting
Peripheral angiography and angioplasty/stenting
Venous interventions (stenting, IVC filter, thrombolysis)
Echocardiography
Stress testing
Cardiac CT and cardiac MRI
Nuclear cardiology
Holter/event monitoring

Procedures^[10]

Diagnostic coronary angiography (cardiac catheterization)
Electrophysiology study
Fractional flow reserve and intravascular ultrasound
Right heart catheterization

Programs and centers^[6][10][11]

Total Hip and Knee Replacement Certification (Joint Commission Gold Seal)
Cardiac rehabilitation
Pulmonary rehabilitation
Heart to Heart cardiovascular screening
Rotary Heart Screening for Athletes
Monitored Exercise Testing Services (METS)
Living with Diabetes exercise and education program

Emergency care (hospital website)^[8]

Emergency room	Yes
Open 24/7	Yes
Stroke designation	Acute Stroke-ready Hospital through IDPH

Visiting and practical information

Visiting	ICU: two visitors at a time 8:30 am–8:30 pm; other units have set hours. Main entrances locked at night; visitor stickers after 8:30 pm^[9]
Parking	Free valet at Entrance A weekdays 8 am–4 pm; visitor lots in front of the Health Center and west side near the Emergency Department^[9]
Patient portal	Patient Portal

Doctors and clinicians (635)

635 doctors and other clinicians list Sarah Bush Lincoln Health 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 (635)

Aaron F. Zirk, DOOsteopathic Manipulative Medicine
Abbey R. Dempsey, NPNurse Practitioner
Abbie C. Massengill, MDObstetrics/Gynecology
Abdulhamid T. Hussein, MDEmergency Medicine
Abdur Shakir, MDHematology/Oncology
Abhilash Makkar, MDHospitalist
Abinay S. Vanteru, MDNephrology
Abraham G. Kocheril, MDCardiovascular Disease (Cardiology)
Adam Held, MDDiagnostic Radiology
Adam Moon, CNACertified Registered Nurse Anesthetist (CRNA)
Adham M. Karim, MDInternal Medicine
Adree B. Venatta, MDFamily Practice
Adrian Nowitzke, CNACertified Registered Nurse Anesthetist (CRNA)
Ahmed Khan, MDHospitalist
Ahtesham Hyder, MDHospitalist
Aja A. Lystila, MDFamily Practice
Alex G. NiebruggeNurse Practitioner
Alexandra C. McCollumPhysician Assistant
Alexandra Miller, PAPhysician Assistant
Alexis Ayonote, MDGastroenterology
Alexis S. LevittNurse Practitioner
Ali H. Warda, MDInternal Medicine
Ali Jafri, DOInternal Medicine
Alicia J. Sledge, NPNurse Practitioner

And 611 more: the button below opens the full list.

Other emergency rooms nearby

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

HSHS Good Shepherd Hospital Inc29 mi · Shelbyville, IL · Critical Access Hospital
St Anthonys Memorial Hospital29 mi · Effingham, IL · Acute Care Hospital
Paris Community Hospital33 mi · Paris, IL · Critical Access Hospital
St Marys Hospital42 mi · Decatur, IL · Acute Care Hospital
Kirby Medical Center42 mi · Monticello, IL · Critical Access Hospital

Other hospitals nearby

Crawford Memorial Hospital43 mi · Robinson, IL · Critical Access 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

Odd Fellow-Rebekah Home4.0 mi · Mattoon, IL · 1 of 5 stars
Mattoon Rehab & HCC5.1 mi · Mattoon, IL · 1 of 5 stars
Palm Garden of Mattoon5.2 mi · Mattoon, IL · 1 of 5 stars

All nursing homes in the state →

Hospice providers

Sarah Bush Lincoln Hospice6.7 mi · Charleston, IL · 5 of 5 stars

All hospice providers in the state →

Home health agencies

Sarah Bush Lincoln Home Care6.7 mi · Charleston, IL · 3 of 5 stars
Community Homecare, Inc18 mi · Sullivan, IL

All home health agencies in the state →

Dialysis facilities

DaVita Mattoon Dialysis6.7 mi · Charleston, IL · 2 of 5 stars

All dialysis facilities 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

SIHF Healthcare - Mattoon3.2 mi · Mattoon, IL · Community health center
SIHF Healthcare - Charleston4.6 mi · Charleston, IL · Community health center
Sihf Healthcare5.4 mi · Mattoon, IL · Community health center

Clinics and urgent care

Carle Mattoon on Hurst5.4 mi · Mattoon, IL · Rural health clinic
Toofan Medical Holdings, Ltd5.4 mi · Mattoon, IL · Urgent care center
Springfield Clinic Neoga Rural Health15 mi · Neoga, IL · Rural health clinic

Pharmacies

Highland Park CVS LLC5.4 mi · Mattoon, IL · Pharmacy
Pharmax Inc.5.4 mi · Mattoon, IL · Community/retail pharmacy
Sarah Bush Lincoln Health Center5.4 mi · Mattoon, IL · Pharmacy

About the Medicare star rating

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

Medicare quality data

What Sarah Bush Lincoln Health 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)	4 of 5 stars
Overall rating of the hospital	4 of 5 stars
Would recommend the hospital	4 of 5 stars
Nurses communicated well	4 of 5 stars
Doctors communicated well	3 of 5 stars
Staff explained medicines	3 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Quiet at night	3 of 5 stars
Rated the hospital 9 or 10 out of 10	75%National average: 72%
Would definitely recommend the hospital	75%National average: 71%
Nurses “always” communicated well	82%National average: 80%
Doctors “always” communicated well	79%National average: 80%
Staff “always” explained medicines before giving them	60%National average: 62%
Were given information about recovery at home	89%National average: 86%
Room and bathroom “always” clean	72%National average: 74%
Area around the room “always” quiet at night	57%National average: 60%
Completed surveys	1,343Response rate: 24%

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)	0.948No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	2.018No different from the national benchmark
Surgical site infections after colon surgery	0.479No different from the national benchmark
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	1.164No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.657No 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	13.8%
Deaths within 30 days: heart failure patients	10.5%
Deaths within 30 days: pneumonia patients	14%
Deaths within 30 days: COPD patients	6.5%
Deaths within 30 days: stroke patients	16.8%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	0.97No different from the national rate
Complications after hip or knee replacement	6%

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	13.9%
Readmitted within 30 days: heart failure	18.9%
Readmitted within 30 days: pneumonia	15.3%
Readmitted within 30 days: COPD	17%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	6.6%

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	High (40,000–59,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	210 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	92%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in 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 75 common services exactly as Sarah Bush Lincoln Health 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 →

$ 11 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	$150	$150	$60 – $138
New patient office visit (about 30–44 minutes): 10 of 41 insurance plan rates AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $120 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $111 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $73.38 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $130.50 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $120 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $135 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $126 BC COMM MMAI — BC COMM MMAI: $73.38 BC MED ADV PPO/HMO — BC MED ADV PPO/HMO: $75.58 BCBS CHOICE — BCBS CHOICE: $120
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	$150	$150	$60 – $138
New patient office visit (about 45–59 minutes): 10 of 41 insurance plan rates AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $120 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $111 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $119.50 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $130.50 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $120 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $135 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $126 BC COMM MMAI — BC COMM MMAI: $119.50 BC MED ADV PPO/HMO — BC MED ADV PPO/HMO: $123.09 BCBS CHOICE — BCBS CHOICE: $120
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	$150	$150	$60 – $169.29
New patient office visit (about 60–74 minutes): 10 of 41 insurance plan rates AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $120 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $111 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $164.36 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $130.50 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $120 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $135 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $126 BC COMM MMAI — BC COMM MMAI: $164.36 BC MED ADV PPO/HMO — BC MED ADV PPO/HMO: $169.29 BCBS CHOICE — BCBS CHOICE: $120
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more	$150	$150	$58.18 – $138
Established patient office visit (about 20–29 minutes): 10 of 41 insurance plan rates AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $120 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $111 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $58.18 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $130.50 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $120 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $135 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $126 BC COMM MMAI — BC COMM MMAI: $58.18 BC MED ADV PPO/HMO — BC MED ADV PPO/HMO: $59.93 BCBS CHOICE — BCBS CHOICE: $120
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	$150	$150	$60 – $138
Established patient office visit (about 30–39 minutes): 10 of 41 insurance plan rates AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $120 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $111 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $85.77 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $130.50 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $120 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $135 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $126 BC COMM MMAI — BC COMM MMAI: $85.77 BC MED ADV PPO/HMO — BC MED ADV PPO/HMO: $88.34 BCBS CHOICE — BCBS CHOICE: $120
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: Office or other outpatient consultation with low level of medical decision making, if using time, 30 minutes or more	$398	$398	$5.48 – $366.16
Office consultation with a specialist (moderate): 10 of 29 insurance plan rates AETNA BETTER HLTH — AETNA BETTER HLTH: $103.54 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $358.20 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $318.40 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $358.20 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $334.32 BC COMM CARE MCAID — BC COMM CARE MCAID: $103.54 BCBS CHOICE — BCBS CHOICE: $111.30 BCBS IL-ALL OTHER PLANS — BCBS IL-ALL OTHER PLANS: $134.04 BEECH STREET-ALL PLANS — BEECH STREET-ALL PLANS: $366.16 CIGNA BEHAV HLTH — CIGNA BEHAV HLTH: $117
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: Office or other outpatient consultation with moderate level of medical decision making, if using time, 40 minutes or more	$630	$630	$8.82 – $579.60
Office consultation with a specialist (moderate to high): 10 of 29 insurance plan rates AETNA BETTER HLTH — AETNA BETTER HLTH: $54.89 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $567 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $504 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $567 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $529.20 BC COMM CARE MCAID — BC COMM CARE MCAID: $54.89 BCBS CHOICE — BCBS CHOICE: $172.63 BCBS IL-ALL OTHER PLANS — BCBS IL-ALL OTHER PLANS: $206.09 BEECH STREET-ALL PLANS — BEECH STREET-ALL PLANS: $579.60 CIGNA BEHAV HLTH — CIGNA BEHAV HLTH: $165.48
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: Initial new patient preventive medicine evaluation (18-39 years)	$75	$75	$5.62 – $194.28
Preventive checkup, new patient, age 18–39: 10 of 32 insurance plan rates AETNA BETTER HLTH — AETNA BETTER HLTH: $66.40 AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $60 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $55.50 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $67.50 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $60 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $67.50 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $63 BC COMM CARE MCAID — BC COMM CARE MCAID: $66.40 BCBS CHOICE — BCBS CHOICE: $133.12 BCBS IL-ALL OTHER PLANS — BCBS IL-ALL OTHER PLANS: $194.28
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: Initial new patient preventive medicine evaluation (40-64 years)	$75	$75	$6.82 – $225.38
Preventive checkup, new patient, age 40–64: 10 of 32 insurance plan rates AETNA BETTER HLTH — AETNA BETTER HLTH: $48.53 AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $60 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $55.50 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $67.50 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $60 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $67.50 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $63 BC COMM CARE MCAID — BC COMM CARE MCAID: $48.53 BCBS CHOICE — BCBS CHOICE: $154.46 BCBS IL-ALL OTHER PLANS — BCBS IL-ALL OTHER PLANS: $225.38
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: Emergency department visit with low level of medical decision making	$238	$238	$95.20 – $500
Emergency room visit (moderate): 10 of 47 insurance plan rates AETNA BETTER HLTH — AETNA BETTER HLTH: $85.87 AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $190.40 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $176.12 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $313.30 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $207.06 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $190.40 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $214.20 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $199.92 BC COMM CARE MCAID — BC COMM CARE MCAID: $85.87 BC COMM MMAI — BC COMM MMAI: $313.30
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: Emergency department visit with low level of medical decision making	$1,226	$1,226	$313.30 – $1,127.92
Emergency room visit (moderate): 10 of 42 insurance plan rates AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $980.80 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $907.24 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $313.30 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $1,066.62 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $980.80 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $1,103.40 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $1,029.84 BC COMM MMAI — BC COMM MMAI: $313.30 BC MED ADV PPO/HMO — BC MED ADV PPO/HMO: $322.70 BCBS CHOICE — BCBS CHOICE: $1,017.58
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: Emergency department visit with moderate level of medical decision making	$447	$447	$178.80 – $500
Emergency room visit (moderately high): 10 of 47 insurance plan rates AETNA BETTER HLTH — AETNA BETTER HLTH: $125.23 AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $357.60 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $330.78 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $478.89 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $388.89 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $357.60 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $402.30 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $375.48 BC COMM CARE MCAID — BC COMM CARE MCAID: $125.23 BC COMM MMAI — BC COMM MMAI: $478.89
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: Emergency department visit with moderate level of medical decision making	$1,917	$1,917	$478.89 – $1,763.64
Emergency room visit (moderately high): 10 of 42 insurance plan rates AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $1,533.60 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $1,418.58 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $478.89 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $1,667.79 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $1,533.60 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $1,725.30 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $1,610.28 BC COMM MMAI — BC COMM MMAI: $478.89 BC MED ADV PPO/HMO — BC MED ADV PPO/HMO: $493.26 BCBS CHOICE — BCBS CHOICE: $1,591.11
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: Emergency department visit with high level of medical decision making	$663	$663	$265.20 – $703.99
Emergency room visit (high): 10 of 47 insurance plan rates AETNA BETTER HLTH — AETNA BETTER HLTH: $633 AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $530.40 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $490.62 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $683.49 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $576.81 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $530.40 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $596.70 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $556.92 BC COMM CARE MCAID — BC COMM CARE MCAID: $633 BC COMM MMAI — BC COMM MMAI: $683.49
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: Emergency department visit with high level of medical decision making	$2,279	$2,279	$500 – $2,096.68
Emergency room visit (high): 10 of 42 insurance plan rates AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $1,823.20 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $1,686.46 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $683.49 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $1,982.73 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $1,823.20 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $2,051.10 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $1,914.36 BC COMM MMAI — BC COMM MMAI: $683.49 BC MED ADV PPO/HMO — BC MED ADV PPO/HMO: $703.99 BCBS CHOICE — BCBS CHOICE: $1,891.57

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: Blood test, basic group of blood chemicals (Calcium, total)	$128	$128	$8.46 – $117.76
Basic metabolic panel (blood test): 10 of 46 insurance plan rates AETNA BETTER HLTH — AETNA BETTER HLTH: $9.19 AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $102.40 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $94.72 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $8.46 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $111.36 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $102.40 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $115.20 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $107.52 BC COMM CARE MCAID — BC COMM CARE MCAID: $9.19 BC COMM MMAI — BC COMM MMAI: $8.46
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Blood test, comprehensive group of blood chemicals	$161	$161	$9.19 – $148.12
Comprehensive metabolic panel (blood test): 10 of 46 insurance plan rates AETNA BETTER HLTH — AETNA BETTER HLTH: $9.19 AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $128.80 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $119.14 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $10.56 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $140.07 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $128.80 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $144.90 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $135.24 BC COMM CARE MCAID — BC COMM CARE MCAID: $9.19 BC COMM MMAI — BC COMM MMAI: $10.56
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: Obstetric blood test panel	$447	$447	$9.19 – $411.24
Obstetric blood test panel: 10 of 46 insurance plan rates AETNA BETTER HLTH — AETNA BETTER HLTH: $9.19 AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $357.60 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $330.78 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $47.81 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $388.89 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $357.60 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $402.30 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $375.48 BC COMM CARE MCAID — BC COMM CARE MCAID: $9.19 BC COMM MMAI — BC COMM MMAI: $47.81
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Blood test, lipids (cholesterol and triglycerides)	$236	$236	$13.39 – $217.12
Cholesterol panel (lipid panel): 10 of 46 insurance plan rates AETNA BETTER HLTH — AETNA BETTER HLTH: $27.46 AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $18.08 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $18.08 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $13.39 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $212.40 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $188.80 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $212.40 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $198.24 BC COMM CARE MCAID — BC COMM CARE MCAID: $27.46 BC COMM MMAI — BC COMM MMAI: $13.39
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Kidney function blood test panel	$133	$133	$8.68 – $122.36
Kidney function panel: 10 of 46 insurance plan rates AETNA BETTER HLTH — AETNA BETTER HLTH: $9.19 AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $106.40 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $98.42 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $8.68 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $115.71 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $106.40 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $119.70 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $111.72 BC COMM CARE MCAID — BC COMM CARE MCAID: $9.19 BC COMM MMAI — BC COMM MMAI: $8.68
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Liver function blood test panel	$121	$121	$8.17 – $111.32
Liver function panel: 10 of 46 insurance plan rates AETNA BETTER HLTH — AETNA BETTER HLTH: $9.19 AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $96.80 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $89.54 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $8.17 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $105.27 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $96.80 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $108.90 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $101.64 BC COMM CARE MCAID — BC COMM CARE MCAID: $9.19 BC COMM MMAI — BC COMM MMAI: $8.17
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Manual urinalysis test with examination using microscope, automated	$62	$62	$3.06 – $57.04
Urine test (automated, with microscope): 10 of 46 insurance plan rates AETNA BETTER HLTH — AETNA BETTER HLTH: $3.06 AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $49.60 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $45.88 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $3.17 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $53.94 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $49.60 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $55.80 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $52.08 BC COMM CARE MCAID — BC COMM CARE MCAID: $3.06 BC COMM MMAI — BC COMM MMAI: $3.17
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: Urinalysis, manual test	$36	$36	$3.06 – $33.12
Urine test (manual, without microscope): 10 of 46 insurance plan rates AETNA BETTER HLTH — AETNA BETTER HLTH: $3.06 AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $28.80 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $26.64 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $3.48 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $31.32 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $28.80 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $32.40 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $30.24 BC COMM CARE MCAID — BC COMM CARE MCAID: $3.06 BC COMM MMAI — BC COMM MMAI: $3.48
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Automated urinalysis test	$43	$43	$2.25 – $39.56
Urine test (automated, without microscope): 10 of 46 insurance plan rates AETNA BETTER HLTH — AETNA BETTER HLTH: $3.06 AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $34.40 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $31.82 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $2.25 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $37.41 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $34.40 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $38.70 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $36.12 BC COMM CARE MCAID — BC COMM CARE MCAID: $3.06 BC COMM MMAI — BC COMM MMAI: $2.25
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PSA (prostate specific antigen) measurement, total	$284	$284	$12.17 – $261.28
PSA (prostate specific antigen) blood test: 10 of 46 insurance plan rates AETNA BETTER HLTH — AETNA BETTER HLTH: $12.17 AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $227.20 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $210.16 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $18.39 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $247.08 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $227.20 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $255.60 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $238.56 BC COMM CARE MCAID — BC COMM CARE MCAID: $12.17 BC COMM MMAI — BC COMM MMAI: $18.39
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Blood test, thyroid stimulating hormone (TSH)	$313	$313	$13.43 – $287.96
Thyroid stimulating hormone (TSH) test: 10 of 46 insurance plan rates AETNA BETTER HLTH — AETNA BETTER HLTH: $13.43 AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $250.40 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $231.62 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $16.80 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $272.31 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $250.40 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $281.70 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $262.92 BC COMM CARE MCAID — BC COMM CARE MCAID: $13.43 BC COMM MMAI — BC COMM MMAI: $16.80
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	$117	$117	$6.04 – $107.64
Complete blood count (CBC) with differential: 10 of 46 insurance plan rates AETNA BETTER HLTH — AETNA BETTER HLTH: $6.04 AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $93.60 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $86.58 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $7.77 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $101.79 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $93.60 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $105.30 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $98.28 BC COMM CARE MCAID — BC COMM CARE MCAID: $6.04 BC COMM MMAI — BC COMM MMAI: $7.77
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Complete blood cell count (red cells, white blood cell, platelets), automated test	$99	$99	$6.04 – $91.08
Complete blood count (CBC), automated: 10 of 46 insurance plan rates AETNA BETTER HLTH — AETNA BETTER HLTH: $6.04 AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $79.20 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $73.26 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $6.47 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $86.13 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $79.20 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $89.10 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $83.16 BC COMM CARE MCAID — BC COMM CARE MCAID: $6.04 BC COMM MMAI — BC COMM MMAI: $6.47
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Blood test, clotting time	$65	$65	$4.29 – $59.80
Blood clotting time test (prothrombin time, PT): 10 of 46 insurance plan rates AETNA BETTER HLTH — AETNA BETTER HLTH: $4.51 AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $52 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $48.10 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $4.29 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $56.55 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $52 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $58.50 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $54.60 BC COMM CARE MCAID — BC COMM CARE MCAID: $4.51 BC COMM MMAI — BC COMM MMAI: $4.29
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Coagulation assessment blood test, plasma or whole blood	$156	$156	$4.51 – $143.52
Blood clotting test (partial thromboplastin time, PTT): 10 of 46 insurance plan rates AETNA BETTER HLTH — AETNA BETTER HLTH: $4.51 AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $124.80 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $115.44 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $6.01 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $135.72 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $124.80 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $140.40 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $131.04 BC COMM CARE MCAID — BC COMM CARE MCAID: $4.51 BC COMM MMAI — BC COMM MMAI: $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: CT scan head or brain without contrast	$2,985	$2,985	$119.99 – $2,746.20
CT scan of the head or brain, without contrast: 10 of 46 insurance plan rates AETNA BETTER HLTH — AETNA BETTER HLTH: $381.53 AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $2,388 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $2,208.90 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $119.99 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $2,596.95 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $2,388 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $2,686.50 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $2,507.40 BC COMM CARE MCAID — BC COMM CARE MCAID: $381.53 BC COMM MMAI — BC COMM MMAI: $119.99
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI scan of brain before and after contrast	$625	$625	$20.54 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $575
MRI of the brain, before and after contrast: 10 of 46 insurance plan rates AETNA BETTER HLTH — AETNA BETTER HLTH: $296.60 AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $142.24 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $142.24 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $105.36 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $562.50 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $500 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $562.50 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $525 BC COMM CARE MCAID — BC COMM CARE MCAID: $296.60 BC COMM MMAI — BC COMM MMAI: $105.36
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: X-ray of chest, 2 views	$60	$60	$1.84 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $55.20
Chest X-ray, 2 views: 10 of 46 insurance plan rates AETNA BETTER HLTH — AETNA BETTER HLTH: $40.23 AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $13.47 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $13.47 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $9.98 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $54 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $48 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $54 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $50.40 BC COMM CARE MCAID — BC COMM CARE MCAID: $40.23 BC COMM MMAI — BC COMM MMAI: $9.98
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: X-ray of lower and sacral spine, minimum of 4 views	$1,162	$1,162	$70.48 – $1,069.04
X-ray of the lower spine, at least 4 views: 10 of 46 insurance plan rates AETNA BETTER HLTH — AETNA BETTER HLTH: $70.48 AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $929.60 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $859.88 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $119.99 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $1,010.94 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $929.60 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $1,045.80 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $976.08 BC COMM CARE MCAID — BC COMM CARE MCAID: $70.48 BC COMM MMAI — BC COMM MMAI: $119.99
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI scan of lower spinal canal without contrast	$5,099	$5,099	$273.84 – $4,691.08
MRI of the lower back (lumbar spine), without contrast: 10 of 46 insurance plan rates AETNA BETTER HLTH — AETNA BETTER HLTH: $302.84 AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $4,079.20 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $3,773.26 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $273.84 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $4,436.13 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $4,079.20 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $4,589.10 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $4,283.16 BC COMM CARE MCAID — BC COMM CARE MCAID: $302.84 BC COMM MMAI — BC COMM MMAI: $273.84
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT scan of pelvis with contrast	$3,764	$3,764	$201.31 – $3,462.88
CT scan of the pelvis, with contrast: 10 of 46 insurance plan rates AETNA BETTER HLTH — AETNA BETTER HLTH: $381.53 AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $3,011.20 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $2,785.36 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $201.31 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $3,274.68 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $3,011.20 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $3,387.60 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $3,161.76 BC COMM CARE MCAID — BC COMM CARE MCAID: $381.53 BC COMM MMAI — BC COMM MMAI: $201.31
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI scan of leg joint without contrast	$5,173	$5,173	$273.84 – $4,759.16
MRI of a leg joint (such as the knee), without contrast: 10 of 46 insurance plan rates AETNA BETTER HLTH — AETNA BETTER HLTH: $302.84 AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $4,138.40 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $3,828.02 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $273.84 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $4,500.51 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $4,138.40 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $4,655.70 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $4,345.32 BC COMM CARE MCAID — BC COMM CARE MCAID: $302.84 BC COMM MMAI — BC COMM MMAI: $273.84
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT scan of abdomen and pelvis with contrast	$6,800	$6,800	$381.53 – $6,256
CT scan of the abdomen and pelvis, with contrast: 10 of 46 insurance plan rates AETNA BETTER HLTH — AETNA BETTER HLTH: $381.53 AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $5,440 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $5,032 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $400.40 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $5,916 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $5,440 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $6,120 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $5,712 BC COMM CARE MCAID — BC COMM CARE MCAID: $381.53 BC COMM MMAI — BC COMM MMAI: $400.40
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: Complete ultrasound scan of abdomen	$1,862	$1,862	$119.99 – $1,713.04
Ultrasound of the abdomen, complete: 10 of 46 insurance plan rates AETNA BETTER HLTH — AETNA BETTER HLTH: $211.36 AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $1,489.60 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $1,377.88 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $119.99 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $1,619.94 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $1,489.60 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $1,675.80 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $1,564.08 BC COMM CARE MCAID — BC COMM CARE MCAID: $211.36 BC COMM MMAI — BC COMM MMAI: $119.99
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus	$1,538	$1,538	$119.99 – $1,414.96
Pregnancy ultrasound (after the first trimester): 10 of 46 insurance plan rates AETNA BETTER HLTH — AETNA BETTER HLTH: $126.37 AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $1,230.40 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $1,138.12 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $119.99 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $1,338.06 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $1,230.40 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $1,384.20 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $1,291.92 BC COMM CARE MCAID — BC COMM CARE MCAID: $126.37 BC COMM MMAI — BC COMM MMAI: $119.99
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina	$1,313	$1,313	$119.99 – $1,207.96
Transvaginal ultrasound: 10 of 46 insurance plan rates AETNA BETTER HLTH — AETNA BETTER HLTH: $137.18 AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $1,050.40 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $971.62 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $119.99 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $1,142.31 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $1,050.40 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $1,181.70 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $1,102.92 BC COMM CARE MCAID — BC COMM CARE MCAID: $137.18 BC COMM MMAI — BC COMM MMAI: $119.99
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: Diagnostic mammography of 1 breast	$219	$219	$7.56 – $201.48
Diagnostic mammogram, one breast: 10 of 46 insurance plan rates AETNA BETTER HLTH — AETNA BETTER HLTH: $17.67 AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $51.08 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $51.08 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $37.84 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $197.10 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $175.20 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $197.10 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $183.96 BC COMM CARE MCAID — BC COMM CARE MCAID: $17.67 BC COMM MMAI — BC COMM MMAI: $37.84
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Diagnostic mammography of both breasts	$269	$269	$9.52 – $269
Diagnostic mammogram, both breasts: 10 of 46 insurance plan rates AETNA BETTER HLTH — AETNA BETTER HLTH: $269 AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $62.83 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $62.83 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $46.54 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $242.10 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $215.20 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $242.10 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $225.96 BC COMM CARE MCAID — BC COMM CARE MCAID: $269 BC COMM MMAI — BC COMM MMAI: $46.54
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: Screening mammography	$608	$608	$59.94 – $559.36
Screening mammogram, both breasts: 10 of 46 insurance plan rates AETNA BETTER HLTH — AETNA BETTER HLTH: $59.94 AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $486.40 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $449.92 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $118.51 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $528.96 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $486.40 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $547.20 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $510.72 BC COMM CARE MCAID — BC COMM CARE MCAID: $59.94 BC COMM MMAI — BC COMM MMAI: $118.51

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: Routine electrocardiogram (ECG) using at least 12 leads with interpretation and report	$94	$94	$0.96 – $86.48
Electrocardiogram (ECG/EKG) with reading: 10 of 46 insurance plan rates AETNA BETTER HLTH — AETNA BETTER HLTH: $15.44 AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $20.20 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $20.20 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $14.96 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $84.60 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $75.20 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $84.60 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $78.96 BC COMM CARE MCAID — BC COMM CARE MCAID: $15.44 BC COMM MMAI — BC COMM MMAI: $14.96
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: Insertion of tube in left heart chambers for diagnosis with review by radiologist	$11,940	$11,940	$3,027.80 – $10,984.80
Left heart catheterization (diagnostic): 10 of 46 insurance plan rates AETNA BETTER HLTH — AETNA BETTER HLTH: $3,027.80 AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $9,552 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $8,835.60 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $3,720.78 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $10,387.80 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $9,552 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $10,746 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $10,029.60 BC COMM CARE MCAID — BC COMM CARE MCAID: $3,027.80 BC COMM MMAI — BC COMM MMAI: $3,720.78
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: Insertion of catheters for recording and pacing of right heart chambers rhythm	$20,118	$20,118	$7,996.15 – $18,508.56
Heart rhythm study (electrophysiology evaluation): 10 of 46 insurance plan rates AETNA BETTER HLTH — AETNA BETTER HLTH: $7,996.15 AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $16,094.40 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $14,887.32 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $8,951.70 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $17,502.66 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $16,094.40 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $18,106.20 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $16,899.12 BC COMM CARE MCAID — BC COMM CARE MCAID: $7,996.15 BC COMM MMAI — BC COMM MMAI: $8,951.70
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: Comprehensive electrophysiologic evaluation with catheter destruction of abnormality causing atrial fibrillation (uncoordinated contraction	$50,616	$50,616	$20,246.40 – $46,566.72
Heart rhythm study with ablation for atrial fibrillation: 10 of 46 insurance plan rates AETNA BETTER HLTH — AETNA BETTER HLTH: $21,935.79 AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $40,492.80 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $37,455.84 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $29,998.50 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $44,035.92 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $40,492.80 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $45,554.40 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $42,517.44 BC COMM CARE MCAID — BC COMM CARE MCAID: $21,935.79 BC COMM MMAI — BC COMM MMAI: $29,998.50
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: Sleep study in sleep lab (6 years or older)	$6,651	$6,651	$985.58 – $6,118.92
Sleep study (overnight, in a sleep lab): 10 of 46 insurance plan rates AETNA BETTER HLTH — AETNA BETTER HLTH: $992.08 AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $5,320.80 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $4,921.74 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $985.58 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $5,786.37 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $5,320.80 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $5,985.90 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $5,586.84 BC COMM CARE MCAID — BC COMM CARE MCAID: $992.08 BC COMM MMAI — BC COMM MMAI: $985.58

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	$236	$236	$28.06 – $217.12
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 46 insurance plan rates AETNA BETTER HLTH — AETNA BETTER HLTH: $45.25 AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $188.80 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $174.64 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $28.06 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $205.32 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $188.80 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $212.40 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $198.24 BC COMM CARE MCAID — BC COMM CARE MCAID: $45.25 BC COMM MMAI — BC COMM MMAI: $28.06
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: Evaluation for physical therapy, typically 20 minutes	$456	$456	$94.04 – $419.52
Physical therapy evaluation (low complexity): 10 of 46 insurance plan rates AETNA BETTER HLTH — AETNA BETTER HLTH: $237.86 AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $364.80 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $337.44 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $94.04 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $396.72 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $364.80 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $410.40 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $383.04 BC COMM CARE MCAID — BC COMM CARE MCAID: $237.86 BC COMM MMAI — BC COMM MMAI: $94.04
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: Evaluation for physical therapy, typically 30 minutes	$595	$595	$94.04 – $547.40
Physical therapy evaluation (moderate complexity): 10 of 46 insurance plan rates AETNA BETTER HLTH — AETNA BETTER HLTH: $237.86 AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $476 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $440.30 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $94.04 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $517.65 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $476 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $535.50 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $499.80 BC COMM CARE MCAID — BC COMM CARE MCAID: $237.86 BC COMM MMAI — BC COMM MMAI: $94.04
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: Evaluation for physical therapy, typically 45 minutes	$650	$650	$94.04 – $598
Physical therapy evaluation (high complexity): 10 of 46 insurance plan rates AETNA BETTER HLTH — AETNA BETTER HLTH: $237.86 AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $520 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $481 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $94.04 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $565.50 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $520 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $585 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $546 BC COMM CARE MCAID — BC COMM CARE MCAID: $237.86 BC COMM MMAI — BC COMM MMAI: $94.04
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: Psychotherapy, 30 minutes	$185	$185	$74 – $209.82
Psychotherapy, 30 minutes: 10 of 47 insurance plan rates AETNA BETTER HLTH — AETNA BETTER HLTH: $162.33 AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $148 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $136.90 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $203.71 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $160.95 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $148 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $166.50 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $155.40 BC COMM CARE MCAID — BC COMM CARE MCAID: $162.33 BC COMM MMAI — BC COMM MMAI: $203.71
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: Psychotherapy, 45 minutes	$251	$251	$100.40 – $230.92
Psychotherapy, 45 minutes: 10 of 47 insurance plan rates AETNA BETTER HLTH — AETNA BETTER HLTH: $193.96 AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $200.80 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $185.74 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $203.71 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $218.37 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $200.80 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $225.90 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $210.84 BC COMM CARE MCAID — BC COMM CARE MCAID: $193.96 BC COMM MMAI — BC COMM MMAI: $203.71
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: Psychotherapy, 1 hour	$341	$341	$136.40 – $313.72
Psychotherapy, 60 minutes: 10 of 47 insurance plan rates AETNA BETTER HLTH — AETNA BETTER HLTH: $193.96 AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $272.80 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $252.34 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $203.71 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $296.67 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $272.80 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $306.90 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $286.44 BC COMM CARE MCAID — BC COMM CARE MCAID: $193.96 BC COMM MMAI — BC COMM MMAI: $203.71
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: Family psychotherapy without patient, 50 minutes	$49	$49	$19.60 – $211.54
Family psychotherapy, without the patient: 10 of 46 insurance plan rates AETNA BETTER HLTH — AETNA BETTER HLTH: $211.54 AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $39.20 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $36.26 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $203.71 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $42.63 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $39.20 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $44.10 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $41.16 BC COMM CARE MCAID — BC COMM CARE MCAID: $211.54 BC COMM MMAI — BC COMM MMAI: $203.71
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: Family psychotherapy with patient, 50 minutes	$49	$49	$19.60 – $211.54
Family psychotherapy, with the patient: 10 of 46 insurance plan rates AETNA BETTER HLTH — AETNA BETTER HLTH: $211.54 AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $39.20 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $36.26 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $203.71 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $42.63 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $39.20 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $44.10 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $41.16 BC COMM CARE MCAID — BC COMM CARE MCAID: $211.54 BC COMM MMAI — BC COMM MMAI: $203.71

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 growth and tissue of breast, duct, or nipple	$1,644	$1,644	$24 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,512.48
Removal of breast growth (open surgery): 10 of 46 insurance plan rates AETNA BETTER HLTH — AETNA BETTER HLTH: $828.33 AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $567.80 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $567.80 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $420.59 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $1,479.60 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $1,315.20 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $1,479.60 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $1,380.96 BC COMM CARE MCAID — BC COMM CARE MCAID: $828.33 BC COMM MMAI — BC COMM MMAI: $420.59
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: Removal of knee cartilage using an endoscope	$2,855	$2,855	$31.20 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $2,626.60
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 46 insurance plan rates AETNA BETTER HLTH — AETNA BETTER HLTH: $350.79 AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $703.54 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $703.54 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $521.14 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $2,569.50 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $2,284 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $2,569.50 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $2,398.20 BC COMM CARE MCAID — BC COMM CARE MCAID: $350.79 BC COMM MMAI — BC COMM MMAI: $521.14
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	$1,520	$1,520	$608 – $1,398.40
Upper GI endoscopy (diagnostic): 10 of 46 insurance plan rates AETNA BETTER HLTH — AETNA BETTER HLTH: $1,210.47 AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $1,216 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $1,124.80 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $1,040.95 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $1,322.40 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $1,216 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $1,368 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $1,276.80 BC COMM CARE MCAID — BC COMM CARE MCAID: $1,210.47 BC COMM MMAI — BC COMM MMAI: $1,040.95
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	$286	$286	$7.98 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $793.16
Upper GI endoscopy with biopsy: 10 of 46 insurance plan rates AETNA BETTER HLTH — AETNA BETTER HLTH: $343.96 AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $169.37 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $169.37 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $125.46 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $257.40 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $228.80 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $257.40 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $240.24 BC COMM CARE MCAID — BC COMM CARE MCAID: $343.96 BC COMM MMAI — BC COMM MMAI: $125.46
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Diagnostic exam of large bowel using a flexible endoscope	$278	$278	$10.70 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $700.53
Colonoscopy (diagnostic): 10 of 46 insurance plan rates AETNA BETTER HLTH — AETNA BETTER HLTH: $419 AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $227.45 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $227.45 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $168.48 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $250.20 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $222.40 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $250.20 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $233.52 BC COMM CARE MCAID — BC COMM CARE MCAID: $419 BC COMM MMAI — BC COMM MMAI: $168.48
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Biopsy of large bowel using a flexible endoscope	$1,734	$1,734	$11.58 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,595.28
Colonoscopy with biopsy: 10 of 46 insurance plan rates AETNA BETTER HLTH — AETNA BETTER HLTH: $39.09 AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $244.94 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $244.94 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $181.44 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $1,560.60 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $1,387.20 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $1,560.60 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $1,456.56 BC COMM CARE MCAID — BC COMM CARE MCAID: $39.09 BC COMM MMAI — BC COMM MMAI: $181.44
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Removal of polyps or growths of large bowel using an endoscope with mechanical snare	$2,230	$2,230	$14.70 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $2,051.60
Colonoscopy with removal of polyps (snare): 10 of 46 insurance plan rates AETNA BETTER HLTH — AETNA BETTER HLTH: $477.26 AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $307.85 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $307.85 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $228.04 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $2,007 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $1,784 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $2,007 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $1,873.20 BC COMM CARE MCAID — BC COMM CARE MCAID: $477.26 BC COMM MMAI — BC COMM MMAI: $228.04
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: Biopsy of prostate gland	$2,401	$2,401	$7.54 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $2,208.92
Prostate biopsy: 10 of 28 insurance plan rates AETNA BETTER HLTH — AETNA BETTER HLTH: $111.36 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $2,160.90 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $1,920.80 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $2,160.90 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $2,016.84 BC COMM CARE MCAID — BC COMM CARE MCAID: $111.36 BCBS CHOICE — BCBS CHOICE: $257.91 BCBS IL-ALL OTHER PLANS — BCBS IL-ALL OTHER PLANS: $496.48 BEECH STREET-ALL PLANS — BEECH STREET-ALL PLANS: $2,208.92 CIGNA-ALL OTHER PLANS — CIGNA-ALL OTHER PLANS: $2,160.90
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: Biopsy of lining of uterus and/or removal of polyp using an endoscope	$1,303	$1,303	$13.48 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $2,687.25
Hysteroscopy with biopsy of the uterus lining: 10 of 46 insurance plan rates AETNA BETTER HLTH — AETNA BETTER HLTH: $363.45 AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $289.02 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $289.02 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $214.09 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $1,172.70 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $1,042.40 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $1,172.70 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $1,094.52 BC COMM CARE MCAID — BC COMM CARE MCAID: $363.45 BC COMM MMAI — BC COMM MMAI: $214.09
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Injection of substance into lower spine canal using imaging guidance	$3,181	$3,181	$810.14 – $2,926.52
Spinal injection, lower back (epidural), with imaging guidance: 10 of 46 insurance plan rates AETNA BETTER HLTH — AETNA BETTER HLTH: $958.82 AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $2,544.80 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $2,353.94 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $810.14 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $2,767.47 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $2,544.80 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $2,862.90 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $2,672.04 BC COMM CARE MCAID — BC COMM CARE MCAID: $958.82 BC COMM MMAI — BC COMM MMAI: $810.14
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	$4,408	$4,408	$6.42 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $4,055.36
Nerve root injection, lower back, with imaging guidance: 10 of 46 insurance plan rates AETNA BETTER HLTH — AETNA BETTER HLTH: $20.88 AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $134.92 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $134.92 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $99.94 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $3,967.20 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $3,526.40 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $3,967.20 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $3,702.72 BC COMM CARE MCAID — BC COMM CARE MCAID: $20.88 BC COMM MMAI — BC COMM MMAI: $99.94
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: Removal of recurring cataract in lens capsule using a laser	$1,951	$1,951	$17.62 – $1,794.92
Laser treatment of clouding after cataract surgery: 10 of 46 insurance plan rates AETNA BETTER HLTH — AETNA BETTER HLTH: $513.76 AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $359.61 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $359.61 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $266.38 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $1,755.90 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $1,560.80 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $1,755.90 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $1,638.84 BC COMM CARE MCAID — BC COMM CARE MCAID: $513.76 BC COMM MMAI — BC COMM MMAI: $266.38
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: Removal of cataract with insertion of prosthetic lens	$4,920	$4,920	$30.90 – $4,526.40
Cataract removal with lens implant: 10 of 46 insurance plan rates AETNA BETTER HLTH — AETNA BETTER HLTH: $753.46 AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $614.13 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $614.13 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $454.91 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $4,428 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $3,936 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $4,428 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $4,132.80 BC COMM CARE MCAID — BC COMM CARE MCAID: $753.46 BC COMM MMAI — BC COMM MMAI: $454.91

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) In the file: Vaginal delivery with care before and after delivery	$10,226	$10,226	$123.06 – $9,407.92
Vaginal delivery, with care before and after: 10 of 46 insurance plan rates AETNA BETTER HLTH — AETNA BETTER HLTH: $1,920 AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $3,183.53 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $3,183.53 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $2,358.17 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $9,203.40 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $8,180.80 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $9,203.40 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $8,589.84 BC COMM CARE MCAID — BC COMM CARE MCAID: $1,920 BC COMM MMAI — BC COMM MMAI: $2,358.17
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) In the file: Cesarean delivery with care before and after delivery	$5,374	$5,374	$2,149.60 – $4,944.08
Cesarean delivery (C-section), with care before and after: 10 of 46 insurance plan rates AETNA BETTER HLTH — AETNA BETTER HLTH: $3,246.64 AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $4,299.20 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $3,976.76 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $2,659.68 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $4,675.38 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $4,299.20 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $4,836.60 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $4,514.16 BC COMM CARE MCAID — BC COMM CARE MCAID: $3,246.64 BC COMM MMAI — BC COMM MMAI: $2,659.68
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) In the file: Vaginal delivery and care before and after delivery after previous cesarean delivery	$10,789	$10,789	$129.48 – $10,789
Vaginal delivery after a previous C-section, with care before and after: 10 of 46 insurance plan rates AETNA BETTER HLTH — AETNA BETTER HLTH: $10,789 AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $3,389.19 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $3,389.19 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $2,510.51 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $9,710.10 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $8,631.20 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $9,710.10 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $9,062.76 BC COMM CARE MCAID — BC COMM CARE MCAID: $10,789 BC COMM MMAI — BC COMM MMAI: $2,510.51

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	$119,542.09	$119,542.09	$28,571.82 – $109,978.72
Spinal fusion (not neck), without major complications: 10 of 41 insurance plan rates AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $71,725.25 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $71,725.25 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $28,571.82 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $109,978.72 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $95,633.67 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $107,587.88 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $100,415.36 BC COMM MMAI — BC COMM MMAI: $28,571.82 BC MED ADV PPO/HMO — BC MED ADV PPO/HMO: $29,428.98 BCBS CHOICE — BCBS CHOICE: $95,633.67
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	$53,566.16	$53,566.16	$15,066.62 – $49,280.86
Hip or knee replacement (major joint of the leg), without major complications: 10 of 41 insurance plan rates AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $32,139.69 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $32,139.69 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $15,066.62 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $49,280.86 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $42,852.92 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $48,209.54 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $44,995.57 BC COMM MMAI — BC COMM MMAI: $15,066.62 BC MED ADV PPO/HMO — BC MED ADV PPO/HMO: $15,518.62 BCBS CHOICE — BCBS CHOICE: $42,852.92
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	$85,445.99	$85,445.99	$19,068.97 – $78,610.31
Neck (cervical) spinal fusion, without complications: 10 of 41 insurance plan rates AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $51,267.60 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $51,267.60 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $19,068.97 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $78,610.31 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $68,356.79 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $76,901.39 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $71,774.63 BC COMM MMAI — BC COMM MMAI: $19,068.97 BC MED ADV PPO/HMO — BC MED ADV PPO/HMO: $19,641.04 BCBS CHOICE — BCBS CHOICE: $68,356.79
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 CC/MCC	$27,744.78	$27,744.78	$9,691.10 – $25,525.20
Uterus and ovary surgery (not for cancer), without complications: 10 of 41 insurance plan rates AETNA LOCAL BEST ASO — AETNA LOCAL BEST ASO: $16,646.87 AETNA LOCAL BEST MC — AETNA LOCAL BEST MC: $16,646.87 AETNA MEDICARE/MMAI — AETNA MEDICARE/MMAI: $9,691.10 AETNA OPEN ACCESS — AETNA OPEN ACCESS: $25,525.20 AETNA OPEN CHOICE — AETNA OPEN CHOICE: $22,195.82 AETNA- ALL OTHER PLANS — AETNA- ALL OTHER PLANS: $24,970.30 ALLIED NATIONAL-ALL PLANS — ALLIED NATIONAL-ALL PLANS: $23,305.62 BC COMM MMAI — BC COMM MMAI: $9,691.10 BC MED ADV PPO/HMO — BC MED ADV PPO/HMO: $9,981.83 BCBS CHOICE — BCBS CHOICE: $22,195.82

Source: Sarah Bush Lincoln Health Center’s standard charges file (apps.para-hcfs.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on June 3, 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	1000 Health Center Drive P O Box 372, Mattoon, IL 61938
County	Coles County
State	Illinois
Phone	(217) 258‑2513
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	3 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	140189
Name in Medicare records	SARAH BUSH LINCOLN HEALTH CENTER
Profile level	Medicare data + hospital website
Main phone on the hospital’s website	(217) 258‑2525^[5]
Official website	sarahbush.org
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

Contact us — sarahbush.org
About — sarahbush.org
Welcome | Sarah Bush Lincoln — sarahbush.org
Emergency Department | Sarah Bush Lincoln — sarahbush.org
Visitor Information | Sarah Bush Lincoln — sarahbush.org
The Heart Center | Sarah Bush Lincoln — sarahbush.org
Cardiac Rehabilitation | Sarah Bush Lincoln — sarahbush.org

Sarah Bush Lincoln Health Center

Summary

Profile from official sources

At a glance