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Critical Access Hospital

St Francis Hospital

Litchfield, Illinois · Montgomery County · Emergency services listed

Summary

St Francis Hospital is a critical access hospital in Litchfield, Illinois. Medicare data lists emergency services. CMS overall star rating: 2 of 5 stars. Its official website lists 86 services, specialties and programs. Medicare lists 191 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is a critical access hospital?

A small rural hospital with 24-hour emergency care, designated by Medicare to keep care available far from big cities. More about hospital types

Compare

Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
2 of 5 stars2 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
86Services listed

Quick answers

Does St Francis Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at St Francis Hospital. In a medical emergency, call 911.
Where is St Francis Hospital?
1215 Franciscan Dr, Litchfield, IL 62056, in Montgomery County, Illinois.
What is the phone number of St Francis Hospital?
(217) 324-2191, as listed by Medicare (CMS).
What is the Medicare star rating of St Francis Hospital?
2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[5][6][9][11]

Conditions treated[7][10][12][16]

Treatments[8][9][10][12][13][14]

Procedures[5][6][10][11][16]

Programs and centers[4][5][6][7][8][12][15]

  • Family Maternity Center
  • Pregnancy and birth
  • Specialty clinics
  • STAT Heart Program
  • Cancer Care Center
  • Cardiac rehabilitation program
  • Pulmonary rehabilitation program
  • Safe sleep program (Cribs for Kids Safe Sleep Leader)
  • Breastfeeding support group
  • St. Clare Food Pantry
  • Healthy living programs

Emergency care (hospital website)[5][7]

Emergency roomYes
Open 24/7Yes

Visiting and practical information

Patient portalMyHSHS

Recognition[6]

  • Cribs for Kids Safe Sleep Leader certification

Doctors and clinicians (191)

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

Main specialties

Doctors with a page on this site (191)

And 167 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

About the Medicare star rating

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

Medicare quality data

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

What patients said (patient survey)

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

Summary star rating (all survey topics) 4 of 5 stars
Overall rating of the hospital4 of 5 stars
Would recommend the hospital4 of 5 stars
Nurses communicated well5 of 5 stars
Doctors communicated well3 of 5 stars
Staff explained medicines4 of 5 stars
Information about recovery at home4 of 5 stars
Room and bathroom kept clean3 of 5 stars
Quiet at night4 of 5 stars
Rated the hospital 9 or 10 out of 1083%National average: 72%
Would definitely recommend the hospital77%National average: 71%
Nurses “always” communicated well85%National average: 80%
Doctors “always” communicated well83%National average: 80%
Staff “always” explained medicines before giving them66%National average: 62%
Were given information about recovery at home91%National average: 86%
Room and bathroom “always” clean69%National average: 74%
Area around the room “always” quiet at night58%National average: 60%
Completed surveys105Response rate: 25%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)Not reported to Medicare
Surgical site infections after colon surgeryNot reported to Medicare
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infectionsNot reported to Medicare
Clostridioides difficile (C. diff) intestinal infections0No 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 patientsToo few cases to report
Deaths within 30 days: heart failure patients10.3%
Deaths within 30 days: pneumonia patients21.7%
Deaths within 30 days: COPD patients8.8%
Deaths within 30 days: stroke patientsToo few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)Not reported to Medicare
Complications after hip or knee replacementToo 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 attackToo few cases to report
Readmitted within 30 days: heart failure21.5%
Readmitted within 30 days: pneumonia17.3%
Readmitted within 30 days: COPD20.4%
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacementNot reported to Medicare

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)Not reported to Medicare
Patients who left the emergency room before being seen (OP-22)0%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)67%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.

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 57 common services exactly as St Francis Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: HC CLINIC VISIT INTERM NEW $590 $424.80 $115.84 – $590
New patient office visit (about 30–44 minutes): 10 of 45 insurance plan rates
  • AETNA — AETNA HSHS: $320.96
  • AETNA — AETNA MEDICARE: $129.80
  • AETNA — ALL COMMERCIAL AETNA: $414.77
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $165.20
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $165.20
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $123.90
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $135.70
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $135.70
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $473.18
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $298.54
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · modifier 25 In the file: HC CLINIC VISIT INTERM NEW -25 $590 $424.80 $115.84 – $590
New patient office visit (about 30–44 minutes): 10 of 45 insurance plan rates
  • AETNA — AETNA HSHS: $320.96
  • AETNA — AETNA MEDICARE: $129.80
  • AETNA — ALL COMMERCIAL AETNA: $414.77
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $165.20
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $165.20
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $123.90
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $135.70
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $135.70
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $473.18
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $298.54
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: HC CLINIC VISIT COMPLEX NEW $788 $567.36 $165.48 – $788
New patient office visit (about 45–59 minutes): 10 of 45 insurance plan rates
  • AETNA — AETNA HSHS: $428.67
  • AETNA — AETNA MEDICARE: $173.36
  • AETNA — ALL COMMERCIAL AETNA: $553.96
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $220.64
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $220.64
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $165.48
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $181.24
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $181.24
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $631.98
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $398.73
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · modifier 25 In the file: HC CLINIC VISIT COMPLEX NEW -25 $788 $567.36 $165.48 – $788
New patient office visit (about 45–59 minutes): 10 of 45 insurance plan rates
  • AETNA — AETNA HSHS: $428.67
  • AETNA — AETNA MEDICARE: $173.36
  • AETNA — ALL COMMERCIAL AETNA: $553.96
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $220.64
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $220.64
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $165.48
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $181.24
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $181.24
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $631.98
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $398.73
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: HC CLINIC VISIT COMPREH NEW $980 $705.60 $205.80 – $980
New patient office visit (about 60–74 minutes): 10 of 45 insurance plan rates
  • AETNA — AETNA HSHS: $533.12
  • AETNA — AETNA MEDICARE: $215.60
  • AETNA — ALL COMMERCIAL AETNA: $688.94
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $274.40
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $274.40
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $205.80
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $225.40
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $225.40
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $785.96
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $495.88
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · modifier 25 In the file: HC CLINIC VISIT COMPREH NEW -25 $980 $705.60 $205.80 – $980
New patient office visit (about 60–74 minutes): 10 of 45 insurance plan rates
  • AETNA — AETNA HSHS: $533.12
  • AETNA — AETNA MEDICARE: $215.60
  • AETNA — ALL COMMERCIAL AETNA: $688.94
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $274.40
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $274.40
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $205.80
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $225.40
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $225.40
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $785.96
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $495.88
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: HC CLINIC VISIT INTERM EST $397 $285.84 $83.37 – $397
Established patient office visit (about 20–29 minutes): 10 of 45 insurance plan rates
  • AETNA — AETNA HSHS: $215.97
  • AETNA — AETNA MEDICARE: $87.34
  • AETNA — ALL COMMERCIAL AETNA: $279.09
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $111.16
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $111.16
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $83.37
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $91.31
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $91.31
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $318.39
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $200.88
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · modifier 25 In the file: HC CLINIC VISIT INTERM EST -25 $397 $285.84 $83.37 – $397
Established patient office visit (about 20–29 minutes): 10 of 45 insurance plan rates
  • AETNA — AETNA HSHS: $215.97
  • AETNA — AETNA MEDICARE: $87.34
  • AETNA — ALL COMMERCIAL AETNA: $279.09
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $111.16
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $111.16
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $83.37
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $91.31
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $91.31
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $318.39
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $200.88
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · modifier 27 In the file: HC CLINIC VISIT INTERM EST $397 $285.84 $83.37 – $397
Established patient office visit (about 20–29 minutes): 10 of 45 insurance plan rates
  • AETNA — AETNA HSHS: $215.97
  • AETNA — AETNA MEDICARE: $87.34
  • AETNA — ALL COMMERCIAL AETNA: $279.09
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $111.16
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $111.16
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $83.37
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $91.31
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $91.31
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $318.39
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $200.88
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: HC CLINIC VISIT COMPLX EST $620 $446.40 $130.20 – $620
Established patient office visit (about 30–39 minutes): 10 of 45 insurance plan rates
  • AETNA — AETNA HSHS: $337.28
  • AETNA — AETNA MEDICARE: $136.40
  • AETNA — ALL COMMERCIAL AETNA: $435.86
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $173.60
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $173.60
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $130.20
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $142.60
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $142.60
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $497.24
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $313.72
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · modifier 25 In the file: HC CLINIC VISIT COMPLEX EST -25 $620 $446.40 $130.20 – $620
Established patient office visit (about 30–39 minutes): 10 of 45 insurance plan rates
  • AETNA — AETNA HSHS: $337.28
  • AETNA — AETNA MEDICARE: $136.40
  • AETNA — ALL COMMERCIAL AETNA: $435.86
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $173.60
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $173.60
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $130.20
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $142.60
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $142.60
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $497.24
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $313.72
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · modifier XU In the file: HC CLINIC VISIT COMPLX EST $620 $446.40 $130.20 – $620
Established patient office visit (about 30–39 minutes): 10 of 45 insurance plan rates
  • AETNA — AETNA HSHS: $337.28
  • AETNA — AETNA MEDICARE: $136.40
  • AETNA — ALL COMMERCIAL AETNA: $435.86
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $173.60
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $173.60
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $130.20
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $142.60
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $142.60
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $497.24
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $313.72
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: HC ER LEVEL 3 $874 $629.28 $183.54 – $874
Emergency room visit (moderate): 10 of 45 insurance plan rates
  • AETNA — AETNA HSHS: $475.46
  • AETNA — AETNA MEDICARE: $192.28
  • AETNA — ALL COMMERCIAL AETNA: $614.42
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $244.72
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $244.72
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $183.54
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $201.02
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $201.02
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $700.95
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $442.24
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · modifier 24 In the file: HC ER LEVEL 3 $874 $629.28 $183.54 – $874
Emergency room visit (moderate): 10 of 45 insurance plan rates
  • AETNA — AETNA HSHS: $475.46
  • AETNA — AETNA MEDICARE: $192.28
  • AETNA — ALL COMMERCIAL AETNA: $614.42
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $244.72
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $244.72
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $183.54
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $201.02
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $201.02
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $700.95
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $442.24
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · modifier 27 In the file: HC ER LEVEL 3 $874 $629.28 $183.54 – $874
Emergency room visit (moderate): 10 of 45 insurance plan rates
  • AETNA — AETNA HSHS: $475.46
  • AETNA — AETNA MEDICARE: $192.28
  • AETNA — ALL COMMERCIAL AETNA: $614.42
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $244.72
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $244.72
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $183.54
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $201.02
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $201.02
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $700.95
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $442.24
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: HC ER LEVEL 4 $1,180 $849.60 $247.80 – $1,180
Emergency room visit (moderately high): 10 of 45 insurance plan rates
  • AETNA — AETNA HSHS: $641.92
  • AETNA — AETNA MEDICARE: $259.60
  • AETNA — ALL COMMERCIAL AETNA: $829.54
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $330.40
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $330.40
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $247.80
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $271.40
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $271.40
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $946.36
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $597.08
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · modifier 27 In the file: HC ER LEVEL 4 $1,180 $849.60 $247.80 – $1,180
Emergency room visit (moderately high): 10 of 45 insurance plan rates
  • AETNA — AETNA HSHS: $641.92
  • AETNA — AETNA MEDICARE: $259.60
  • AETNA — ALL COMMERCIAL AETNA: $829.54
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $330.40
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $330.40
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $247.80
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $271.40
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $271.40
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $946.36
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $597.08
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · modifier XU In the file: HC ER LEVEL 4 $1,180 $849.60 $247.80 – $1,180
Emergency room visit (moderately high): 10 of 45 insurance plan rates
  • AETNA — AETNA HSHS: $641.92
  • AETNA — AETNA MEDICARE: $259.60
  • AETNA — ALL COMMERCIAL AETNA: $829.54
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $330.40
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $330.40
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $247.80
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $271.40
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $271.40
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $946.36
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $597.08
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: HC ER LEVEL 5 $2,155 $1,551.60 $452.55 – $2,155
Emergency room visit (high): 10 of 45 insurance plan rates
  • AETNA — AETNA HSHS: $1,172.32
  • AETNA — AETNA MEDICARE: $474.10
  • AETNA — ALL COMMERCIAL AETNA: $1,514.97
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $603.40
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $603.40
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $452.55
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $495.65
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $495.65
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $1,728.31
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $1,090.43
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: HC ER LEVEL 5 SANE $2,371 $1,707.12 $497.91 – $2,371
Emergency room visit (high): 10 of 45 insurance plan rates
  • AETNA — AETNA HSHS: $1,289.82
  • AETNA — AETNA MEDICARE: $521.62
  • AETNA — ALL COMMERCIAL AETNA: $1,666.81
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $663.88
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $663.88
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $497.91
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $545.33
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $545.33
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $1,901.54
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $1,199.73
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · modifier XU In the file: HC ER LEVEL 5 SANE $2,371 $1,707.12 $497.91 – $2,371
Emergency room visit (high): 10 of 45 insurance plan rates
  • AETNA — AETNA HSHS: $1,289.82
  • AETNA — AETNA MEDICARE: $521.62
  • AETNA — ALL COMMERCIAL AETNA: $1,666.81
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $663.88
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $663.88
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $497.91
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $545.33
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $545.33
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $1,901.54
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $1,199.73

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: HC BASIC METABOLIC PANEL $252 $181.44 $8.46 – $252
Basic metabolic panel (blood test): 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $137.09
  • AETNA — AETNA MEDICARE: $55.44
  • AETNA — ALL COMMERCIAL AETNA: $177.16
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $70.56
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $70.56
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $52.92
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $57.96
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $57.96
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $202.10
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $127.51
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · modifier PN In the file: HC BASIC METABOLIC PANEL $252 $181.44 $8.46 – $252
Basic metabolic panel (blood test): 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $137.09
  • AETNA — AETNA MEDICARE: $55.44
  • AETNA — ALL COMMERCIAL AETNA: $177.16
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $70.56
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $70.56
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $52.92
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $57.96
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $57.96
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $202.10
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $127.51
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · modifier PO In the file: HC BASIC METABOLIC PANEL $252 $181.44 $8.46 – $252
Basic metabolic panel (blood test): 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $137.09
  • AETNA — AETNA MEDICARE: $55.44
  • AETNA — ALL COMMERCIAL AETNA: $177.16
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $70.56
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $70.56
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $52.92
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $57.96
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $57.96
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $202.10
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $127.51
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: HC COMPREHENSIVE METABOL PANEL $305 $219.60 $9.09 – $305
Comprehensive metabolic panel (blood test): 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $165.92
  • AETNA — AETNA MEDICARE: $67.10
  • AETNA — ALL COMMERCIAL AETNA: $214.42
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $85.40
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $85.40
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $64.05
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $70.15
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $70.15
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $244.61
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $154.33
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · modifier PN In the file: HC COMPREHENSIVE METABOL PANEL $305 $219.60 $9.09 – $305
Comprehensive metabolic panel (blood test): 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $165.92
  • AETNA — AETNA MEDICARE: $67.10
  • AETNA — ALL COMMERCIAL AETNA: $214.42
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $85.40
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $85.40
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $64.05
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $70.15
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $70.15
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $244.61
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $154.33
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · modifier PO In the file: HC COMPREHENSIVE METABOL PANEL $305 $219.60 $9.09 – $305
Comprehensive metabolic panel (blood test): 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $165.92
  • AETNA — AETNA MEDICARE: $67.10
  • AETNA — ALL COMMERCIAL AETNA: $214.42
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $85.40
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $85.40
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $64.05
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $70.15
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $70.15
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $244.61
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $154.33
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: LIPID PANEL $168 $120.96 $9.09 – $168
Cholesterol panel (lipid panel): 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $91.39
  • AETNA — AETNA MEDICARE: $36.96
  • AETNA — ALL COMMERCIAL AETNA: $118.10
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $47.04
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $47.04
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $35.28
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $38.64
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $38.64
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $134.74
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $85.01
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · modifier PN In the file: LIPID PANEL $168 $120.96 $9.09 – $168
Cholesterol panel (lipid panel): 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $91.39
  • AETNA — AETNA MEDICARE: $36.96
  • AETNA — ALL COMMERCIAL AETNA: $118.10
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $47.04
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $47.04
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $35.28
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $38.64
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $38.64
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $134.74
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $85.01
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · modifier PO In the file: LIPID PANEL $168 $120.96 $9.09 – $168
Cholesterol panel (lipid panel): 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $91.39
  • AETNA — AETNA MEDICARE: $36.96
  • AETNA — ALL COMMERCIAL AETNA: $118.10
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $47.04
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $47.04
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $35.28
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $38.64
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $38.64
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $134.74
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $85.01
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: HC RENAL PANEL $276 $198.72 $9.09 – $276
Kidney function panel: 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $150.14
  • AETNA — AETNA MEDICARE: $60.72
  • AETNA — ALL COMMERCIAL AETNA: $194.03
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $77.28
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $77.28
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $57.96
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $63.48
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $63.48
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $221.35
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $139.66
Kidney function panel CPT 80069 · Inpatient or outpatient · modifier PN In the file: HC RENAL PANEL $276 $198.72 $9.09 – $276
Kidney function panel: 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $150.14
  • AETNA — AETNA MEDICARE: $60.72
  • AETNA — ALL COMMERCIAL AETNA: $194.03
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $77.28
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $77.28
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $57.96
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $63.48
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $63.48
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $221.35
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $139.66
Kidney function panel CPT 80069 · Inpatient or outpatient · modifier 59 In the file: HC RENAL PANEL $276 $198.72 $9.09 – $276
Kidney function panel: 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $150.14
  • AETNA — AETNA MEDICARE: $60.72
  • AETNA — ALL COMMERCIAL AETNA: $194.03
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $77.28
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $77.28
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $57.96
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $63.48
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $63.48
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $221.35
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $139.66
Liver function panel CPT 80076 · Inpatient or outpatient In the file: HC LIVER (HEPATIC) PANEL $266 $191.52 $9.09 – $266
Liver function panel: 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $144.70
  • AETNA — AETNA MEDICARE: $58.52
  • AETNA — ALL COMMERCIAL AETNA: $187
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $74.48
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $74.48
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $55.86
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $61.18
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $61.18
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $213.33
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $134.60
Liver function panel CPT 80076 · Inpatient or outpatient · modifier PO In the file: HC LIVER (HEPATIC) PANEL $266 $191.52 $9.09 – $266
Liver function panel: 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $144.70
  • AETNA — AETNA MEDICARE: $58.52
  • AETNA — ALL COMMERCIAL AETNA: $187
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $74.48
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $74.48
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $55.86
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $61.18
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $61.18
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $213.33
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $134.60
Liver function panel CPT 80076 · Inpatient or outpatient · modifier 59 In the file: HC LIVER (HEPATIC) PANEL $266 $191.52 $9.09 – $266
Liver function panel: 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $144.70
  • AETNA — AETNA MEDICARE: $58.52
  • AETNA — ALL COMMERCIAL AETNA: $187
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $74.48
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $74.48
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $55.86
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $61.18
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $61.18
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $213.33
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $134.60
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: HC URINALYSIS AUTO W/MICRO $115 $82.80 $3.03 – $115
Urine test (automated, with microscope): 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $62.56
  • AETNA — AETNA MEDICARE: $25.30
  • AETNA — ALL COMMERCIAL AETNA: $80.85
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $32.20
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $32.20
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $24.15
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $26.45
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $26.45
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $92.23
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $58.19
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · modifier XP In the file: HC URINALYSIS AUTO W/MICRO $115 $82.80 $3.03 – $115
Urine test (automated, with microscope): 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $62.56
  • AETNA — AETNA MEDICARE: $25.30
  • AETNA — ALL COMMERCIAL AETNA: $80.85
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $32.20
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $32.20
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $24.15
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $26.45
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $26.45
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $92.23
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $58.19
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · modifier XS In the file: HC URINALYSIS AUTO W/MICRO $115 $82.80 $3.03 – $115
Urine test (automated, with microscope): 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $62.56
  • AETNA — AETNA MEDICARE: $25.30
  • AETNA — ALL COMMERCIAL AETNA: $80.85
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $32.20
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $32.20
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $24.15
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $26.45
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $26.45
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $92.23
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $58.19
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · modifier QW In the file: HC URINALYSIS AUTO W/O MICRO $44 $31.68 $3.03 – $44
Urine test (automated, without microscope): 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $23.94
  • AETNA — AETNA MEDICARE: $9.68
  • AETNA — ALL COMMERCIAL AETNA: $30.93
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $12.32
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $12.32
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $9.24
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $10.12
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $10.12
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $35.29
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $22.26
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: HC PSA TOTAL $203 $146.16 $12.03 – $203
PSA (prostate specific antigen) blood test: 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $110.43
  • AETNA — AETNA MEDICARE: $44.66
  • AETNA — ALL COMMERCIAL AETNA: $142.71
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $56.84
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $56.84
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $42.63
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $46.69
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $46.69
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $162.81
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $102.72
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · modifier 90 In the file: HC PSA TOTAL-90 $203 $146.16 $12.03 – $203
PSA (prostate specific antigen) blood test: 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $110.43
  • AETNA — AETNA MEDICARE: $44.66
  • AETNA — ALL COMMERCIAL AETNA: $142.71
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $56.84
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $56.84
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $42.63
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $46.69
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $46.69
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $162.81
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $102.72
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · modifier GZ In the file: HC PSA TOTAL $203 $146.16 $12.03 – $507.50
PSA (prostate specific antigen) blood test: 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $110.43
  • AETNA — AETNA MEDICARE: $203
  • AETNA — ALL COMMERCIAL AETNA: $142.71
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $56.84
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $56.84
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $203
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $203
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $203
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $162.81
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $446.60
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: HC THYROID STIMULATING HORM $193 $138.96 $13.28 – $193
Thyroid stimulating hormone (TSH) test: 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $104.99
  • AETNA — AETNA MEDICARE: $42.46
  • AETNA — ALL COMMERCIAL AETNA: $135.68
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $54.04
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $54.04
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $40.53
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $44.39
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $44.39
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $154.79
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $97.66
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · modifier PN In the file: HC THYROID STIMULATING HORM $193 $138.96 $13.28 – $193
Thyroid stimulating hormone (TSH) test: 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $104.99
  • AETNA — AETNA MEDICARE: $42.46
  • AETNA — ALL COMMERCIAL AETNA: $135.68
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $54.04
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $54.04
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $40.53
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $44.39
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $44.39
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $154.79
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $97.66
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · modifier PO In the file: HC THYROID STIMULATING HORM $193 $138.96 $13.28 – $193
Thyroid stimulating hormone (TSH) test: 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $104.99
  • AETNA — AETNA MEDICARE: $42.46
  • AETNA — ALL COMMERCIAL AETNA: $135.68
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $54.04
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $54.04
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $40.53
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $44.39
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $44.39
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $154.79
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $97.66
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: HC CBC AUTO W/AUTO DIFF $170 $122.40 $5.97 – $170
Complete blood count (CBC) with differential: 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $92.48
  • AETNA — AETNA MEDICARE: $37.40
  • AETNA — ALL COMMERCIAL AETNA: $119.51
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $47.60
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $47.60
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $35.70
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $39.10
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $39.10
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $136.34
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $86.02
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · modifier 91 In the file: HC CBC AUTO W/AUTO DIFF $170 $122.40 $5.97 – $170
Complete blood count (CBC) with differential: 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $92.48
  • AETNA — AETNA MEDICARE: $37.40
  • AETNA — ALL COMMERCIAL AETNA: $119.51
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $47.60
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $47.60
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $35.70
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $39.10
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $39.10
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $136.34
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $86.02
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · modifier EC In the file: HC CBC AUTO W/AUTO DIFF $170 $122.40 $5.97 – $170
Complete blood count (CBC) with differential: 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $92.48
  • AETNA — AETNA MEDICARE: $37.40
  • AETNA — ALL COMMERCIAL AETNA: $119.51
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $47.60
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $47.60
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $35.70
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $39.10
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $39.10
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $136.34
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $86.02
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: HC CBC W/O DIFF $151 $108.72 $5.97 – $151
Complete blood count (CBC), automated: 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $82.14
  • AETNA — AETNA MEDICARE: $33.22
  • AETNA — ALL COMMERCIAL AETNA: $106.15
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $42.28
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $42.28
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $31.71
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $34.73
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $34.73
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $121.10
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $76.41
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · modifier 91 In the file: HC CBC W/O DIFF $151 $108.72 $5.97 – $151
Complete blood count (CBC), automated: 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $82.14
  • AETNA — AETNA MEDICARE: $33.22
  • AETNA — ALL COMMERCIAL AETNA: $106.15
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $42.28
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $42.28
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $31.71
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $34.73
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $34.73
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $121.10
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $76.41
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · modifier AY In the file: HC CBC W/O DIFF $151 $108.72 $5.97 – $151
Complete blood count (CBC), automated: 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $82.14
  • AETNA — AETNA MEDICARE: $33.22
  • AETNA — ALL COMMERCIAL AETNA: $106.15
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $42.28
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $42.28
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $31.71
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $34.73
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $34.73
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $121.10
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $76.41
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: HC PROTHROMBIN TIME (PT) $86 $61.92 $4.46 – $86
Blood clotting time test (prothrombin time, PT): 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $46.78
  • AETNA — AETNA MEDICARE: $18.92
  • AETNA — ALL COMMERCIAL AETNA: $60.46
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $24.08
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $24.08
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $18.06
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $19.78
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $19.78
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $68.97
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $43.52
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · modifier 90 In the file: HC PROTHROMBIN TIME (PT)-90 $86 $61.92 $4.46 – $86
Blood clotting time test (prothrombin time, PT): 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $46.78
  • AETNA — AETNA MEDICARE: $18.92
  • AETNA — ALL COMMERCIAL AETNA: $60.46
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $24.08
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $24.08
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $18.06
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $19.78
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $19.78
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $68.97
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $43.52
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · modifier XU In the file: HC PROTHROMBIN TIME (PT) $86 $61.92 $4.46 – $86
Blood clotting time test (prothrombin time, PT): 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $46.78
  • AETNA — AETNA MEDICARE: $18.92
  • AETNA — ALL COMMERCIAL AETNA: $60.46
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $24.08
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $24.08
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $18.06
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $19.78
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $19.78
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $68.97
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $43.52
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: HC PTT $143 $102.96 $4.46 – $143
Blood clotting test (partial thromboplastin time, PTT): 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $77.79
  • AETNA — AETNA MEDICARE: $31.46
  • AETNA — ALL COMMERCIAL AETNA: $100.53
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $40.04
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $40.04
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $30.03
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $32.89
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $32.89
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $114.69
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $72.36
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · modifier 90 In the file: HC PTT-90 $61 $43.92 $4.46 – $61
Blood clotting test (partial thromboplastin time, PTT): 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $33.18
  • AETNA — AETNA MEDICARE: $13.42
  • AETNA — ALL COMMERCIAL AETNA: $42.88
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $17.08
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $17.08
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $12.81
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $14.03
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $14.03
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $48.92
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $30.87
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · modifier 91 In the file: HC PTT $143 $102.96 $4.46 – $143
Blood clotting test (partial thromboplastin time, PTT): 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $77.79
  • AETNA — AETNA MEDICARE: $31.46
  • AETNA — ALL COMMERCIAL AETNA: $100.53
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $40.04
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $40.04
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $30.03
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $32.89
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $32.89
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $114.69
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $72.36

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: HC CT HEAD/BRAIN W/O CONTRAST $2,659 $1,914.48 $377.20 – $2,659
CT scan of the head or brain, without contrast: 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $1,446.50
  • AETNA — AETNA MEDICARE: $584.98
  • AETNA — ALL COMMERCIAL AETNA: $1,869.28
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $744.52
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $744.52
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $558.39
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $611.57
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $611.57
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $2,132.52
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $1,345.45
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · modifier UA In the file: HC CT HEAD/BRAIN W/O CONTRAST $2,659 $1,914.48 $377.20 – $2,659
CT scan of the head or brain, without contrast: 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $1,446.50
  • AETNA — AETNA MEDICARE: $584.98
  • AETNA — ALL COMMERCIAL AETNA: $1,869.28
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $744.52
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $744.52
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $558.39
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $611.57
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $611.57
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $2,132.52
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $1,345.45
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · modifier 76 In the file: HC CT HEAD/BRAIN W/O CONTRAST $2,659 $1,914.48 $377.20 – $2,659
CT scan of the head or brain, without contrast: 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $1,446.50
  • AETNA — AETNA MEDICARE: $584.98
  • AETNA — ALL COMMERCIAL AETNA: $1,869.28
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $744.52
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $744.52
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $558.39
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $611.57
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $611.57
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $2,132.52
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $1,345.45
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI BRAIN STEM W/O & W/DYE $5,617 $4,044.24 $505.16 – $5,617
MRI of the brain, before and after contrast: 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $3,055.65
  • AETNA — AETNA MEDICARE: $1,235.74
  • AETNA — ALL COMMERCIAL AETNA: $3,948.75
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $1,572.76
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $1,572.76
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $1,179.57
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $1,291.91
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $1,291.91
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $4,504.83
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $2,842.20
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · modifier XE In the file: MRI BRAIN STEM W/O & W/DYE $5,617 $4,044.24 $505.16 – $5,617
MRI of the brain, before and after contrast: 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $3,055.65
  • AETNA — AETNA MEDICARE: $1,235.74
  • AETNA — ALL COMMERCIAL AETNA: $3,948.75
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $1,572.76
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $1,572.76
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $1,179.57
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $1,291.91
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $1,291.91
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $4,504.83
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $2,842.20
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · modifier PO In the file: MRI BRAIN STEM W/O & W/DYE $5,617 $4,044.24 $505.16 – $5,617
MRI of the brain, before and after contrast: 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $3,055.65
  • AETNA — AETNA MEDICARE: $1,235.74
  • AETNA — ALL COMMERCIAL AETNA: $3,948.75
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $1,572.76
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $1,572.76
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $1,179.57
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $1,291.91
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $1,291.91
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $4,504.83
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $2,842.20
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: X-RAY EXAM CHEST 2 VIEWS $489 $352.08 $23.49 – $489
Chest X-ray, 2 views: 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $266.02
  • AETNA — AETNA MEDICARE: $107.58
  • AETNA — ALL COMMERCIAL AETNA: $343.77
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $136.92
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $136.92
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $102.69
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $112.47
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $112.47
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $392.18
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $247.43
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · modifier Q1 In the file: X-RAY EXAM CHEST 2 VIEWS $489 $352.08 $23.49 – $489
Chest X-ray, 2 views: 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $266.02
  • AETNA — AETNA MEDICARE: $107.58
  • AETNA — ALL COMMERCIAL AETNA: $343.77
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $136.92
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $136.92
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $102.69
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $112.47
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $112.47
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $392.18
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $247.43
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · modifier 77 In the file: X-RAY EXAM CHEST 2 VIEWS $489 $352.08 $23.49 – $489
Chest X-ray, 2 views: 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $266.02
  • AETNA — AETNA MEDICARE: $107.58
  • AETNA — ALL COMMERCIAL AETNA: $343.77
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $136.92
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $136.92
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $102.69
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $112.47
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $112.47
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $392.18
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $247.43
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: HC XR L-SPINE 4+V $1,274 $917.28 $69.68 – $1,274
X-ray of the lower spine, at least 4 views: 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $693.06
  • AETNA — AETNA MEDICARE: $280.28
  • AETNA — ALL COMMERCIAL AETNA: $895.62
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $356.72
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $356.72
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $267.54
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $293.02
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $293.02
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $1,021.75
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $644.64
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · modifier 59 In the file: HC XR L-SPINE 4+V $1,274 $917.28 $69.68 – $1,274
X-ray of the lower spine, at least 4 views: 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $693.06
  • AETNA — AETNA MEDICARE: $280.28
  • AETNA — ALL COMMERCIAL AETNA: $895.62
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $356.72
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $356.72
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $267.54
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $293.02
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $293.02
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $1,021.75
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $644.64
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · modifier XU In the file: HC XR L-SPINE 4+V $1,274 $917.28 $69.68 – $1,274
X-ray of the lower spine, at least 4 views: 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $693.06
  • AETNA — AETNA MEDICARE: $280.28
  • AETNA — ALL COMMERCIAL AETNA: $895.62
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $356.72
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $356.72
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $267.54
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $293.02
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $293.02
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $1,021.75
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $644.64
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: HC MRI L-SPINE W/O CONTRAST $4,387 $3,158.64 $299.41 – $4,387
MRI of the lower back (lumbar spine), without contrast: 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $2,386.53
  • AETNA — AETNA MEDICARE: $965.14
  • AETNA — ALL COMMERCIAL AETNA: $3,084.06
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $1,228.36
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $1,228.36
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $921.27
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $1,009.01
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $1,009.01
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $3,518.37
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $2,219.82
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · modifier 52 In the file: HC MRI L-SPINE W/O CONTRAST $4,387 $3,158.64 $149.70 – $4,387
MRI of the lower back (lumbar spine), without contrast: 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $2,386.53
  • AETNA — AETNA MEDICARE: $965.14
  • AETNA — ALL COMMERCIAL AETNA: $3,084.06
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $1,228.36
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $1,228.36
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $921.27
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $1,009.01
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $1,009.01
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $3,518.37
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $2,219.82
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · modifier PN In the file: HC MRI L-SPINE W/O CONTRAST $4,387 $3,158.64 $299.41 – $4,387
MRI of the lower back (lumbar spine), without contrast: 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $2,386.53
  • AETNA — AETNA MEDICARE: $965.14
  • AETNA — ALL COMMERCIAL AETNA: $3,084.06
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $1,228.36
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $1,228.36
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $921.27
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $1,009.01
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $1,009.01
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $3,518.37
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $2,219.82
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: HC CT PELVIS W/CONTRAST $3,011 $2,167.92 $377.20 – $3,011
CT scan of the pelvis, with contrast: 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $1,637.98
  • AETNA — AETNA MEDICARE: $662.42
  • AETNA — ALL COMMERCIAL AETNA: $2,116.73
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $843.08
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $843.08
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $632.31
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $692.53
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $692.53
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $2,414.82
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $1,523.57
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · modifier UA In the file: HC CT PELVIS W/CONTRAST $3,011 $2,167.92 $377.20 – $3,011
CT scan of the pelvis, with contrast: 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $1,637.98
  • AETNA — AETNA MEDICARE: $662.42
  • AETNA — ALL COMMERCIAL AETNA: $2,116.73
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $843.08
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $843.08
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $632.31
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $692.53
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $692.53
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $2,414.82
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $1,523.57
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: HC MRI LWR EXT JOINT W/O CONTRAST $4,175 $3,006 $299.41 – $4,175
MRI of a leg joint (such as the knee), without contrast: 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $2,271.20
  • AETNA — AETNA MEDICARE: $918.50
  • AETNA — ALL COMMERCIAL AETNA: $2,935.03
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $1,169
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $1,169
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $876.75
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $960.25
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $960.25
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $3,348.35
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $2,112.55
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: HC CT ABDOMEN/PELVIS W/CONTRAST $6,931 $4,990.32 $377.20 – $6,931
CT scan of the abdomen and pelvis, with contrast: 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $3,770.46
  • AETNA — AETNA MEDICARE: $1,524.82
  • AETNA — ALL COMMERCIAL AETNA: $4,872.49
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $1,940.68
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $1,940.68
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $1,455.51
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $1,594.13
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $1,594.13
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $5,558.66
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $3,507.09
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · modifier MA In the file: HC CT ABDOMEN/PELVIS W/CONTRAST $6,931 $4,990.32 $377.20 – $6,931
CT scan of the abdomen and pelvis, with contrast: 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $3,770.46
  • AETNA — AETNA MEDICARE: $1,524.82
  • AETNA — ALL COMMERCIAL AETNA: $4,872.49
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $1,940.68
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $1,940.68
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $1,455.51
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $1,594.13
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $1,594.13
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $5,558.66
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $3,507.09
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · modifier ME In the file: HC CT ABDOMEN/PELVIS W/CONTRAST $6,931 $4,990.32 $377.20 – $6,931
CT scan of the abdomen and pelvis, with contrast: 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $3,770.46
  • AETNA — AETNA MEDICARE: $1,524.82
  • AETNA — ALL COMMERCIAL AETNA: $4,872.49
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $1,940.68
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $1,940.68
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $1,455.51
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $1,594.13
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $1,594.13
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $5,558.66
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $3,507.09
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: HC US ABDOMEN CMPL $1,742 $1,254.24 $208.96 – $1,742
Ultrasound of the abdomen, complete: 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $947.65
  • AETNA — AETNA MEDICARE: $383.24
  • AETNA — ALL COMMERCIAL AETNA: $1,224.63
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $487.76
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $487.76
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $365.82
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $400.66
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $400.66
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $1,397.08
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $881.45
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · modifier PN In the file: HC US ABDOMEN CMPL $1,742 $1,254.24 $208.96 – $1,742
Ultrasound of the abdomen, complete: 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $947.65
  • AETNA — AETNA MEDICARE: $383.24
  • AETNA — ALL COMMERCIAL AETNA: $1,224.63
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $487.76
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $487.76
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $365.82
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $400.66
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $400.66
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $1,397.08
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $881.45
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · modifier PO In the file: HC US ABDOMEN CMPL $1,742 $1,254.24 $208.96 – $1,742
Ultrasound of the abdomen, complete: 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $947.65
  • AETNA — AETNA MEDICARE: $383.24
  • AETNA — ALL COMMERCIAL AETNA: $1,224.63
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $487.76
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $487.76
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $365.82
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $400.66
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $400.66
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $1,397.08
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $881.45
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: HC US PREGNANCY >14 WEEKS SGL $1,124 $809.28 $124.93 – $1,124
Pregnancy ultrasound (after the first trimester): 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $611.46
  • AETNA — AETNA MEDICARE: $247.28
  • AETNA — ALL COMMERCIAL AETNA: $790.17
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $314.72
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $314.72
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $236.04
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $258.52
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $258.52
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $901.45
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $568.74
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · modifier 59 In the file: HC US PREGNANCY >14 WEEKS SGL $1,124 $809.28 $124.93 – $1,124
Pregnancy ultrasound (after the first trimester): 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $611.46
  • AETNA — AETNA MEDICARE: $247.28
  • AETNA — ALL COMMERCIAL AETNA: $790.17
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $314.72
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $314.72
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $236.04
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $258.52
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $258.52
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $901.45
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $568.74
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: HC US TRANSVAGINAL $992 $714.24 $135.63 – $992
Transvaginal ultrasound: 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $539.65
  • AETNA — AETNA MEDICARE: $218.24
  • AETNA — ALL COMMERCIAL AETNA: $697.38
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $277.76
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $277.76
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $208.32
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $228.16
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $228.16
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $795.58
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $501.95
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · modifier PN In the file: HC US TRANSVAGINAL $992 $714.24 $135.63 – $992
Transvaginal ultrasound: 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $539.65
  • AETNA — AETNA MEDICARE: $218.24
  • AETNA — ALL COMMERCIAL AETNA: $697.38
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $277.76
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $277.76
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $208.32
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $228.16
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $228.16
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $795.58
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $501.95
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · modifier 52 In the file: HC US TRANSVAGINAL $992 $714.24 $67.81 – $992
Transvaginal ultrasound: 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $539.65
  • AETNA — AETNA MEDICARE: $218.24
  • AETNA — ALL COMMERCIAL AETNA: $697.38
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $277.76
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $277.76
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $208.32
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $228.16
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $228.16
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $795.58
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $501.95
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: DX MAMMO INCL CAD UNI $693 $498.96 $59.26 – $693
Diagnostic mammogram, one breast: 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $376.99
  • AETNA — AETNA MEDICARE: $152.46
  • AETNA — ALL COMMERCIAL AETNA: $487.18
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $194.04
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $194.04
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $145.53
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $159.39
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $159.39
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $555.79
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $350.66
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · modifier GG In the file: DX MAMMO INCL CAD UNI $693 $498.96 $59.26 – $693
Diagnostic mammogram, one breast: 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $376.99
  • AETNA — AETNA MEDICARE: $152.46
  • AETNA — ALL COMMERCIAL AETNA: $487.18
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $194.04
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $194.04
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $145.53
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $159.39
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $159.39
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $555.79
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $350.66
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · modifier GZ In the file: DX MAMMO INCL CAD UNI $693 $498.96 $59.26 – $1,732.50
Diagnostic mammogram, one breast: 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $376.99
  • AETNA — AETNA MEDICARE: $693
  • AETNA — ALL COMMERCIAL AETNA: $487.18
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $194.04
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $194.04
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $693
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $693
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $693
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $555.79
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $1,524.60
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: DX MAMMO INCL CAD BI $747 $537.84 $59.26 – $747
Diagnostic mammogram, both breasts: 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $406.37
  • AETNA — AETNA MEDICARE: $164.34
  • AETNA — ALL COMMERCIAL AETNA: $525.14
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $209.16
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $209.16
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $156.87
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $171.81
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $171.81
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $599.09
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $377.98
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · modifier GG In the file: HC MAMMOGRAM DIAG W/CAD UPGRADE BIL $747 $537.84 $59.26 – $747
Diagnostic mammogram, both breasts: 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $406.37
  • AETNA — AETNA MEDICARE: $164.34
  • AETNA — ALL COMMERCIAL AETNA: $525.14
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $209.16
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $209.16
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $156.87
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $171.81
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $171.81
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $599.09
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $377.98
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · modifier PO In the file: DX MAMMO INCL CAD BI $747 $537.84 $59.26 – $747
Diagnostic mammogram, both breasts: 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $406.37
  • AETNA — AETNA MEDICARE: $164.34
  • AETNA — ALL COMMERCIAL AETNA: $525.14
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $209.16
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $209.16
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $156.87
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $171.81
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $171.81
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $599.09
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $377.98
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: SCR MAMMO BI INCL CAD $639 $460.08 $59.26 – $639
Screening mammogram, both breasts: 10 of 47 insurance plan rates
  • AETNA — AETNA HSHS: $347.62
  • AETNA — AETNA MEDICARE: $84.26
  • AETNA — ALL COMMERCIAL AETNA: $449.22
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $178.92
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $178.92
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $84.26
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $84.26
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $84.26
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $512.48
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $185.37
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · modifier GA In the file: SCR MAMMO BI INCL CAD $639 $460.08 $59.26 – $639
Screening mammogram, both breasts: 10 of 47 insurance plan rates
  • AETNA — AETNA HSHS: $347.62
  • AETNA — AETNA MEDICARE: $84.26
  • AETNA — ALL COMMERCIAL AETNA: $449.22
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $178.92
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $178.92
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $84.26
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $84.26
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $84.26
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $512.48
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $185.37
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · modifier GZ In the file: SCR MAMMO BI INCL CAD $639 $460.08 $59.26 – $639
Screening mammogram, both breasts: 10 of 47 insurance plan rates
  • AETNA — AETNA HSHS: $347.62
  • AETNA — AETNA MEDICARE: $84.26
  • AETNA — ALL COMMERCIAL AETNA: $449.22
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $178.92
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $178.92
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $84.26
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $84.26
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $84.26
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $512.48
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $185.37

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: HC SLEEP STUDY $5,592 $4,026.24 $980.83 – $5,592
Sleep study (overnight, in a sleep lab): 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $3,042.05
  • AETNA — AETNA MEDICARE: $1,230.24
  • AETNA — ALL COMMERCIAL AETNA: $3,931.18
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $1,565.76
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $1,565.76
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $1,174.32
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $1,286.16
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $1,286.16
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $4,484.78
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $2,829.55
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · modifier 52 In the file: HC SLEEP STUDY PSG 4+ PARAMETERS >6YRS -52 $5,592 $4,026.24 $490.42 – $5,592
Sleep study (overnight, in a sleep lab): 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $3,042.05
  • AETNA — AETNA MEDICARE: $1,230.24
  • AETNA — ALL COMMERCIAL AETNA: $3,931.18
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $1,565.76
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $1,565.76
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $1,174.32
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $1,286.16
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $1,286.16
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $4,484.78
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $2,829.55
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · modifier PO In the file: HC SLEEP STUDY $5,592 $4,026.24 $980.83 – $5,592
Sleep study (overnight, in a sleep lab): 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $3,042.05
  • AETNA — AETNA MEDICARE: $1,230.24
  • AETNA — ALL COMMERCIAL AETNA: $3,931.18
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $1,565.76
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $1,565.76
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $1,174.32
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $1,286.16
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $1,286.16
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $4,484.78
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $2,829.55

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: HC THERA EXER; EA 15 MIN $208 $149.76 $43.68 – $208
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $113.15
  • AETNA — AETNA MEDICARE: $45.76
  • AETNA — ALL COMMERCIAL AETNA: $146.22
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $58.24
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $58.24
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $43.68
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $47.84
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $47.84
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $166.82
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $105.25
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GO In the file: HC THERA EXER; EA 15 MIN $208 $149.76 $43.68 – $208
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $113.15
  • AETNA — AETNA MEDICARE: $45.76
  • AETNA — ALL COMMERCIAL AETNA: $146.22
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $58.24
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $58.24
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $43.68
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $47.84
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $47.84
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $166.82
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $105.25
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GP In the file: HC THERA EXER; EA 15 MIN $208 $149.76 $43.68 – $208
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $113.15
  • AETNA — AETNA MEDICARE: $45.76
  • AETNA — ALL COMMERCIAL AETNA: $146.22
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $58.24
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $58.24
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $43.68
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $47.84
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $47.84
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $166.82
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $105.25
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: PT EVAL LOW COMPLEX 20 MIN $304 $218.88 $63.84 – $304
Physical therapy evaluation (low complexity): 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $165.38
  • AETNA — AETNA MEDICARE: $66.88
  • AETNA — ALL COMMERCIAL AETNA: $213.71
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $85.12
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $85.12
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $63.84
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $69.92
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $69.92
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $243.81
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $153.82
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · modifier GP In the file: PT EVAL LOW COMPLEX 20 MIN $304 $218.88 $63.84 – $304
Physical therapy evaluation (low complexity): 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $165.38
  • AETNA — AETNA MEDICARE: $66.88
  • AETNA — ALL COMMERCIAL AETNA: $213.71
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $85.12
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $85.12
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $63.84
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $69.92
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $69.92
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $243.81
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $153.82
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: PT EVAL MOD COMPLEX 30 MIN $380 $273.60 $79.80 – $380
Physical therapy evaluation (moderate complexity): 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $206.72
  • AETNA — AETNA MEDICARE: $83.60
  • AETNA — ALL COMMERCIAL AETNA: $267.14
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $106.40
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $106.40
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $79.80
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $87.40
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $87.40
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $304.76
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $192.28
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · modifier GP In the file: PT EVAL MOD COMPLEX 30 MIN $380 $273.60 $79.80 – $380
Physical therapy evaluation (moderate complexity): 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $206.72
  • AETNA — AETNA MEDICARE: $83.60
  • AETNA — ALL COMMERCIAL AETNA: $267.14
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $106.40
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $106.40
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $79.80
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $87.40
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $87.40
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $304.76
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $192.28
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · modifier KX In the file: PT EVAL MOD COMPLEX 30 MIN $380 $273.60 $79.80 – $380
Physical therapy evaluation (moderate complexity): 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $206.72
  • AETNA — AETNA MEDICARE: $83.60
  • AETNA — ALL COMMERCIAL AETNA: $267.14
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $106.40
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $106.40
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $79.80
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $87.40
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $87.40
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $304.76
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $192.28

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: TOTAL HIP ARTHROPLASTY Not listed in the file Not listed in the file $2,923.07 – $13,919.40
Total hip replacement: 10 of 36 insurance plan rates
  • AETNA — AETNA HSHS: 54.4% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA MEDICARE: 22% (a percentage in the contract, not a dollar amount)
  • AETNA — ALL COMMERCIAL AETNA: 70.3% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: 28% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: 28% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL BLUE CHOICE PLANS: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL HMO PHAI: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: 21% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: 23% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: TOTAL KNEE ARTHROPLASTY Not listed in the file Not listed in the file $2,649.80 – $12,950.14
Total knee replacement: 10 of 40 insurance plan rates
  • AETNA — AETNA HSHS: 54.4% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA MEDICARE: 22% (a percentage in the contract, not a dollar amount)
  • AETNA — ALL COMMERCIAL AETNA: 70.3% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: 28% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: 28% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL BLUE CHOICE PLANS: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL HMO PHAI: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: 21% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: 23% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · modifier 50 In the file: TOTAL KNEE ARTHROPLASTY Not listed in the file Not listed in the file $2,649.80 – $19,425.21
Total knee replacement: 10 of 40 insurance plan rates
  • AETNA — AETNA HSHS: 54.4% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA MEDICARE: 22% (a percentage in the contract, not a dollar amount)
  • AETNA — ALL COMMERCIAL AETNA: 70.3% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: 28% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: 28% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL BLUE CHOICE PLANS: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL HMO PHAI: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: 21% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: 23% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient In the file: HC SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS $7,646 $5,505.12 $1,605.66 – $7,646
Shoulder arthroscopy: shaving of shoulder bone: 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $4,159.42
  • AETNA — AETNA MEDICARE: $1,682.12
  • AETNA — ALL COMMERCIAL AETNA: $5,375.14
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $2,140.88
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $2,140.88
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $1,605.66
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $1,758.58
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $1,758.58
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $6,132.09
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $3,868.88
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: SHO ARTHRS SRG DECOMPRESSION Not listed in the file Not listed in the file $1,198.13 – $5,705.37
Shoulder arthroscopy: shaving of shoulder bone: 10 of 40 insurance plan rates
  • AETNA — AETNA HSHS: 54.4% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA MEDICARE: 22% (a percentage in the contract, not a dollar amount)
  • AETNA — ALL COMMERCIAL AETNA: 70.3% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: 28% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: 28% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL BLUE CHOICE PLANS: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL HMO PHAI: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: 21% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: 23% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · modifier XU In the file: HC SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS $7,646 $5,505.12 $1,605.66 – $7,646
Shoulder arthroscopy: shaving of shoulder bone: 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $4,159.42
  • AETNA — AETNA MEDICARE: $1,682.12
  • AETNA — ALL COMMERCIAL AETNA: $5,375.14
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $2,140.88
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $2,140.88
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $1,605.66
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $1,758.58
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $1,758.58
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $6,132.09
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $3,868.88
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient In the file: HC ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG $9,734 $7,008.48 $2,044.14 – $9,734
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $5,295.30
  • AETNA — AETNA MEDICARE: $2,141.48
  • AETNA — ALL COMMERCIAL AETNA: $6,843
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $2,725.52
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $2,725.52
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $2,044.14
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $2,238.82
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $2,238.82
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $7,806.67
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $4,925.40
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: ARTHRS KNE SRG MNISECTMY M/L Not listed in the file Not listed in the file $1,522.83 – $7,251.59
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 40 insurance plan rates
  • AETNA — AETNA HSHS: 54.4% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA MEDICARE: 22% (a percentage in the contract, not a dollar amount)
  • AETNA — ALL COMMERCIAL AETNA: 70.3% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: 28% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: 28% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL BLUE CHOICE PLANS: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL HMO PHAI: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: 21% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: 23% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · modifier XS In the file: HC ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG $9,734 $7,008.48 $2,044.14 – $9,734
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $5,295.30
  • AETNA — AETNA MEDICARE: $2,141.48
  • AETNA — ALL COMMERCIAL AETNA: $6,843
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $2,725.52
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $2,725.52
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $2,044.14
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $2,238.82
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $2,238.82
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $7,806.67
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $4,925.40
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: EGD DIAGNOSTIC BRUSH WASH Not listed in the file Not listed in the file $649.32 – $3,092.01
Upper GI endoscopy (diagnostic): 10 of 40 insurance plan rates
  • AETNA — AETNA HSHS: 54.4% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA MEDICARE: 22% (a percentage in the contract, not a dollar amount)
  • AETNA — ALL COMMERCIAL AETNA: 70.3% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: 28% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: 28% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL BLUE CHOICE PLANS: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL HMO PHAI: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: 21% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: 23% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · modifier XU In the file: EGD DIAGNOSTIC BRUSH WASH Not listed in the file Not listed in the file $649.32 – $3,092.01
Upper GI endoscopy (diagnostic): 10 of 40 insurance plan rates
  • AETNA — AETNA HSHS: 54.4% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA MEDICARE: 22% (a percentage in the contract, not a dollar amount)
  • AETNA — ALL COMMERCIAL AETNA: 70.3% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: 28% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: 28% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL BLUE CHOICE PLANS: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL HMO PHAI: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: 21% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: 23% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · modifier XS In the file: EGD DIAGNOSTIC BRUSH WASH Not listed in the file Not listed in the file $649.32 – $3,092.01
Upper GI endoscopy (diagnostic): 10 of 40 insurance plan rates
  • AETNA — AETNA HSHS: 54.4% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA MEDICARE: 22% (a percentage in the contract, not a dollar amount)
  • AETNA — ALL COMMERCIAL AETNA: 70.3% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: 28% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: 28% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL BLUE CHOICE PLANS: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL HMO PHAI: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: 21% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: 23% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: EGD BIOPSY SINGLE/MULTIPLE Not listed in the file Not listed in the file $728.73 – $3,470.12
Upper GI endoscopy with biopsy: 10 of 40 insurance plan rates
  • AETNA — AETNA HSHS: 54.4% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA MEDICARE: 22% (a percentage in the contract, not a dollar amount)
  • AETNA — ALL COMMERCIAL AETNA: 70.3% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: 28% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: 28% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL BLUE CHOICE PLANS: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL HMO PHAI: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: 21% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: 23% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · modifier XP In the file: EGD BIOPSY SINGLE/MULTIPLE Not listed in the file Not listed in the file $728.73 – $3,470.12
Upper GI endoscopy with biopsy: 10 of 40 insurance plan rates
  • AETNA — AETNA HSHS: 54.4% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA MEDICARE: 22% (a percentage in the contract, not a dollar amount)
  • AETNA — ALL COMMERCIAL AETNA: 70.3% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: 28% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: 28% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL BLUE CHOICE PLANS: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL HMO PHAI: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: 21% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: 23% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · modifier XS In the file: EGD BIOPSY SINGLE/MULTIPLE Not listed in the file Not listed in the file $728.73 – $3,470.12
Upper GI endoscopy with biopsy: 10 of 40 insurance plan rates
  • AETNA — AETNA HSHS: 54.4% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA MEDICARE: 22% (a percentage in the contract, not a dollar amount)
  • AETNA — ALL COMMERCIAL AETNA: 70.3% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: 28% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: 28% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL BLUE CHOICE PLANS: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL HMO PHAI: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: 21% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: 23% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: DIAGNOSTIC COLONOSCOPY Not listed in the file Not listed in the file $920.62 – $4,383.91
Colonoscopy (diagnostic): 10 of 40 insurance plan rates
  • AETNA — AETNA HSHS: 54.4% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA MEDICARE: 22% (a percentage in the contract, not a dollar amount)
  • AETNA — ALL COMMERCIAL AETNA: 70.3% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: 28% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: 28% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL BLUE CHOICE PLANS: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL HMO PHAI: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: 21% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: 23% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · modifier KX In the file: DIAGNOSTIC COLONOSCOPY Not listed in the file Not listed in the file $920.62 – $4,383.91
Colonoscopy (diagnostic): 10 of 40 insurance plan rates
  • AETNA — AETNA HSHS: 54.4% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA MEDICARE: 22% (a percentage in the contract, not a dollar amount)
  • AETNA — ALL COMMERCIAL AETNA: 70.3% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: 28% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: 28% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL BLUE CHOICE PLANS: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL HMO PHAI: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: 21% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: 23% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · modifier 52 In the file: DIAGNOSTIC COLONOSCOPY Not listed in the file Not listed in the file $611.43 – $4,383.91
Colonoscopy (diagnostic): 10 of 40 insurance plan rates
  • AETNA — AETNA HSHS: 54.4% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA MEDICARE: 22% (a percentage in the contract, not a dollar amount)
  • AETNA — ALL COMMERCIAL AETNA: 70.3% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: 28% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: 28% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL BLUE CHOICE PLANS: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL HMO PHAI: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: 21% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: 23% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: COLONOSCOPY AND BIOPSY Not listed in the file Not listed in the file $1,129.36 – $5,377.92
Colonoscopy with biopsy: 10 of 40 insurance plan rates
  • AETNA — AETNA HSHS: 54.4% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA MEDICARE: 22% (a percentage in the contract, not a dollar amount)
  • AETNA — ALL COMMERCIAL AETNA: 70.3% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: 28% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: 28% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL BLUE CHOICE PLANS: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL HMO PHAI: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: 21% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: 23% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · modifier XU In the file: COLONOSCOPY AND BIOPSY Not listed in the file Not listed in the file $1,129.36 – $5,377.92
Colonoscopy with biopsy: 10 of 40 insurance plan rates
  • AETNA — AETNA HSHS: 54.4% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA MEDICARE: 22% (a percentage in the contract, not a dollar amount)
  • AETNA — ALL COMMERCIAL AETNA: 70.3% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: 28% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: 28% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL BLUE CHOICE PLANS: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL HMO PHAI: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: 21% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: 23% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · modifier XP In the file: COLONOSCOPY AND BIOPSY Not listed in the file Not listed in the file $1,129.36 – $5,377.92
Colonoscopy with biopsy: 10 of 40 insurance plan rates
  • AETNA — AETNA HSHS: 54.4% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA MEDICARE: 22% (a percentage in the contract, not a dollar amount)
  • AETNA — ALL COMMERCIAL AETNA: 70.3% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: 28% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: 28% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL BLUE CHOICE PLANS: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL HMO PHAI: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: 21% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: 23% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: COLONOSCOPY W/LESION REMOVAL Not listed in the file Not listed in the file $1,222.86 – $6,314.94
Colonoscopy with removal of polyps (snare): 10 of 40 insurance plan rates
  • AETNA — AETNA HSHS: 54.4% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA MEDICARE: 22% (a percentage in the contract, not a dollar amount)
  • AETNA — ALL COMMERCIAL AETNA: 70.3% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: 28% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: 28% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL BLUE CHOICE PLANS: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL HMO PHAI: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: 21% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: 23% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · modifier XU In the file: COLONOSCOPY W/LESION REMOVAL Not listed in the file Not listed in the file $1,222.86 – $6,314.94
Colonoscopy with removal of polyps (snare): 10 of 40 insurance plan rates
  • AETNA — AETNA HSHS: 54.4% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA MEDICARE: 22% (a percentage in the contract, not a dollar amount)
  • AETNA — ALL COMMERCIAL AETNA: 70.3% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: 28% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: 28% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL BLUE CHOICE PLANS: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL HMO PHAI: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: 21% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: 23% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · modifier 22 In the file: COLONOSCOPY W/LESION REMOVAL Not listed in the file Not listed in the file $1,222.86 – $6,314.94
Colonoscopy with removal of polyps (snare): 10 of 40 insurance plan rates
  • AETNA — AETNA HSHS: 54.4% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA MEDICARE: 22% (a percentage in the contract, not a dollar amount)
  • AETNA — ALL COMMERCIAL AETNA: 70.3% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: 28% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: 28% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL BLUE CHOICE PLANS: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL HMO PHAI: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: 21% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: 23% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: COLON CA SCRN NOT HI RSK IND Not listed in the file Not listed in the file $1,145.55 – $5,455
Screening colonoscopy (not high risk): 10 of 40 insurance plan rates
  • AETNA — AETNA HSHS: 54.4% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA MEDICARE: 22% (a percentage in the contract, not a dollar amount)
  • AETNA — ALL COMMERCIAL AETNA: 70.3% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: 28% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: 28% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL BLUE CHOICE PLANS: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL HMO PHAI: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: 21% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: 23% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · modifier 74 In the file: COLON CA SCRN NOT HI RSK IND Not listed in the file Not listed in the file $1,145.55 – $5,455
Screening colonoscopy (not high risk): 10 of 40 insurance plan rates
  • AETNA — AETNA HSHS: 54.4% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA MEDICARE: 22% (a percentage in the contract, not a dollar amount)
  • AETNA — ALL COMMERCIAL AETNA: 70.3% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: 28% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: 28% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL BLUE CHOICE PLANS: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL HMO PHAI: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: 21% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: 23% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · modifier 52 In the file: COLON CA SCRN NOT HI RSK IND Not listed in the file Not listed in the file $611.43 – $5,589.84
Screening colonoscopy (not high risk): 10 of 40 insurance plan rates
  • AETNA — AETNA HSHS: 54.4% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA MEDICARE: 22% (a percentage in the contract, not a dollar amount)
  • AETNA — ALL COMMERCIAL AETNA: 70.3% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: 28% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: 28% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL BLUE CHOICE PLANS: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL HMO PHAI: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: 21% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: 23% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: LAPAROSCOPIC CHOLECYSTECTOMY Not listed in the file Not listed in the file $2,006.71 – $9,555.75
Gallbladder removal by laparoscope: 10 of 40 insurance plan rates
  • AETNA — AETNA HSHS: 54.4% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA MEDICARE: 22% (a percentage in the contract, not a dollar amount)
  • AETNA — ALL COMMERCIAL AETNA: 70.3% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: 28% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: 28% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL BLUE CHOICE PLANS: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL HMO PHAI: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: 21% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: 23% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · modifier 50 In the file: LAPAROSCOPIC CHOLECYSTECTOMY Not listed in the file Not listed in the file $2,006.71 – $9,555.75
Gallbladder removal by laparoscope: 10 of 40 insurance plan rates
  • AETNA — AETNA HSHS: 54.4% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA MEDICARE: 22% (a percentage in the contract, not a dollar amount)
  • AETNA — ALL COMMERCIAL AETNA: 70.3% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: 28% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: 28% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL BLUE CHOICE PLANS: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL HMO PHAI: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: 21% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: 23% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: PRP I/HERN INIT REDUC >5 YR Not listed in the file Not listed in the file $1,995.84 – $9,504
Groin (inguinal) hernia repair, age 5 or older: 10 of 40 insurance plan rates
  • AETNA — AETNA HSHS: 54.4% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA MEDICARE: 22% (a percentage in the contract, not a dollar amount)
  • AETNA — ALL COMMERCIAL AETNA: 70.3% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: 28% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: 28% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL BLUE CHOICE PLANS: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL HMO PHAI: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: 21% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: 23% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · modifier 50 In the file: PRP I/HERN INIT REDUC >5 YR Not listed in the file Not listed in the file $1,995.84 – $9,504
Groin (inguinal) hernia repair, age 5 or older: 10 of 40 insurance plan rates
  • AETNA — AETNA HSHS: 54.4% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA MEDICARE: 22% (a percentage in the contract, not a dollar amount)
  • AETNA — ALL COMMERCIAL AETNA: 70.3% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: 28% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: 28% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL BLUE CHOICE PLANS: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL HMO PHAI: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: 21% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: 23% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
Prostate biopsy CPT 55700 · Inpatient or outpatient In the file: HC BX PROSTATE NEEDLE/PUNCH $6,146 $4,425.12 $1,290.66 – $6,146
Prostate biopsy: 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $3,343.42
  • AETNA — AETNA MEDICARE: $1,352.12
  • AETNA — ALL COMMERCIAL AETNA: $4,320.64
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $1,720.88
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $1,720.88
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $1,290.66
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $1,413.58
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $1,413.58
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $4,929.09
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $3,109.88
Prostate biopsy CPT 55700 · Inpatient or outpatient · modifier XS In the file: HC BX PROSTATE NEEDLE/PUNCH $6,146 $4,425.12 $1,290.66 – $6,146
Prostate biopsy: 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $3,343.42
  • AETNA — AETNA MEDICARE: $1,352.12
  • AETNA — ALL COMMERCIAL AETNA: $4,320.64
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $1,720.88
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $1,720.88
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $1,290.66
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $1,413.58
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $1,413.58
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $4,929.09
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $3,109.88
Prostate biopsy CPT 55700 · Inpatient or outpatient · modifier 59 In the file: HC BX PROSTATE NEEDLE/PUNCH $6,146 $4,425.12 $1,290.66 – $6,146
Prostate biopsy: 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $3,343.42
  • AETNA — AETNA MEDICARE: $1,352.12
  • AETNA — ALL COMMERCIAL AETNA: $4,320.64
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $1,720.88
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $1,720.88
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $1,290.66
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $1,413.58
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $1,413.58
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $4,929.09
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $3,109.88
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: HYSTEROSCOPY BIOPSY Not listed in the file Not listed in the file $1,255.63 – $10,030.91
Hysteroscopy with biopsy of the uterus lining: 10 of 40 insurance plan rates
  • AETNA — AETNA HSHS: 54.4% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA MEDICARE: 22% (a percentage in the contract, not a dollar amount)
  • AETNA — ALL COMMERCIAL AETNA: 70.3% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: 28% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: 28% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL BLUE CHOICE PLANS: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL HMO PHAI: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: 21% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: 23% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · modifier 74 In the file: HYSTEROSCOPY BIOPSY Not listed in the file Not listed in the file $1,255.63 – $10,030.91
Hysteroscopy with biopsy of the uterus lining: 10 of 40 insurance plan rates
  • AETNA — AETNA HSHS: 54.4% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA MEDICARE: 22% (a percentage in the contract, not a dollar amount)
  • AETNA — ALL COMMERCIAL AETNA: 70.3% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: 28% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: 28% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL BLUE CHOICE PLANS: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL HMO PHAI: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: 21% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: 23% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · modifier XP In the file: HYSTEROSCOPY BIOPSY Not listed in the file Not listed in the file $1,255.63 – $10,030.91
Hysteroscopy with biopsy of the uterus lining: 10 of 40 insurance plan rates
  • AETNA — AETNA HSHS: 54.4% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA MEDICARE: 22% (a percentage in the contract, not a dollar amount)
  • AETNA — ALL COMMERCIAL AETNA: 70.3% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: 28% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: 28% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL BLUE CHOICE PLANS: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL HMO PHAI: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: 21% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: 23% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · modifier 50 In the file: HC INJ EPID LUMBAR/SACRAL SGL-BI $2,671 $1,923.12 $560.91 – $2,671
Nerve root injection, lower back, with imaging guidance: 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $1,453.02
  • AETNA — AETNA MEDICARE: $587.62
  • AETNA — ALL COMMERCIAL AETNA: $1,877.71
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $747.88
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $747.88
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $560.91
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $614.33
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $614.33
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $2,142.14
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $1,351.53
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · modifier LT In the file: HC INJ EPID LUMBAR/SACRAL SGL-LT $2,671 $1,923.12 $560.91 – $2,671
Nerve root injection, lower back, with imaging guidance: 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $1,453.02
  • AETNA — AETNA MEDICARE: $587.62
  • AETNA — ALL COMMERCIAL AETNA: $1,877.71
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $747.88
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $747.88
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $560.91
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $614.33
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $614.33
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $2,142.14
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $1,351.53
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · modifier RT In the file: HC INJ EPID LUMBAR/SACRAL SGL-RT $2,671 $1,923.12 $560.91 – $2,671
Nerve root injection, lower back, with imaging guidance: 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $1,453.02
  • AETNA — AETNA MEDICARE: $587.62
  • AETNA — ALL COMMERCIAL AETNA: $1,877.71
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $747.88
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $747.88
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $560.91
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $614.33
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $614.33
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $2,142.14
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $1,351.53
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: CARPAL TUNNEL SURGERY Not listed in the file Not listed in the file $1,449.84 – $6,904
Carpal tunnel release: 10 of 40 insurance plan rates
  • AETNA — AETNA HSHS: 54.4% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA MEDICARE: 22% (a percentage in the contract, not a dollar amount)
  • AETNA — ALL COMMERCIAL AETNA: 70.3% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: 28% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: 28% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL BLUE CHOICE PLANS: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL HMO PHAI: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: 21% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: 23% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · modifier XS In the file: CARPAL TUNNEL SURGERY Not listed in the file Not listed in the file $1,449.84 – $6,904
Carpal tunnel release: 10 of 40 insurance plan rates
  • AETNA — AETNA HSHS: 54.4% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA MEDICARE: 22% (a percentage in the contract, not a dollar amount)
  • AETNA — ALL COMMERCIAL AETNA: 70.3% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: 28% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: 28% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL BLUE CHOICE PLANS: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL HMO PHAI: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: 21% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: 23% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · modifier 50 In the file: CARPAL TUNNEL SURGERY Not listed in the file Not listed in the file $1,449.84 – $6,904
Carpal tunnel release: 10 of 40 insurance plan rates
  • AETNA — AETNA HSHS: 54.4% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA MEDICARE: 22% (a percentage in the contract, not a dollar amount)
  • AETNA — ALL COMMERCIAL AETNA: 70.3% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: 28% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: 28% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL BLUE CHOICE PLANS: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL HMO PHAI: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: 21% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: 23% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient In the file: HC LASER (YAG) POST CATARACT $2,231 $1,606.32 $468.51 – $2,231
Laser treatment of clouding after cataract surgery: 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $1,213.66
  • AETNA — AETNA MEDICARE: $490.82
  • AETNA — ALL COMMERCIAL AETNA: $1,568.39
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $624.68
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $624.68
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $468.51
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $513.13
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $513.13
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $1,789.26
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $1,128.89
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: AFTER CATARACT LASER SURGERY Not listed in the file Not listed in the file $513.62 – $2,445.79
Laser treatment of clouding after cataract surgery: 10 of 40 insurance plan rates
  • AETNA — AETNA HSHS: 54.4% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA MEDICARE: 22% (a percentage in the contract, not a dollar amount)
  • AETNA — ALL COMMERCIAL AETNA: 70.3% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: 28% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: 28% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL BLUE CHOICE PLANS: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL HMO PHAI: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: 21% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: 23% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · modifier 50 In the file: HC LASER (YAG) POST CATARACT $2,231 $1,606.32 $468.51 – $2,231
Laser treatment of clouding after cataract surgery: 10 of 48 insurance plan rates
  • AETNA — AETNA HSHS: $1,213.66
  • AETNA — AETNA MEDICARE: $490.82
  • AETNA — ALL COMMERCIAL AETNA: $1,568.39
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $624.68
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $624.68
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $468.51
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $513.13
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $513.13
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $1,789.26
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $1,128.89
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: XCAPSL CTRC RMVL W/O ECP Not listed in the file Not listed in the file $972.67 – $4,631.75
Cataract removal with lens implant: 10 of 40 insurance plan rates
  • AETNA — AETNA HSHS: 54.4% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA MEDICARE: 22% (a percentage in the contract, not a dollar amount)
  • AETNA — ALL COMMERCIAL AETNA: 70.3% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: 28% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: 28% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL BLUE CHOICE PLANS: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL HMO PHAI: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: 21% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: 23% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · modifier PO In the file: XCAPSL CTRC RMVL W/O ECP Not listed in the file Not listed in the file $972.67 – $4,631.75
Cataract removal with lens implant: 10 of 40 insurance plan rates
  • AETNA — AETNA HSHS: 54.4% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA MEDICARE: 22% (a percentage in the contract, not a dollar amount)
  • AETNA — ALL COMMERCIAL AETNA: 70.3% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: 28% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: 28% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL BLUE CHOICE PLANS: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL HMO PHAI: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: 21% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: 23% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · modifier 50 In the file: XCAPSL CTRC RMVL W/O ECP Not listed in the file Not listed in the file $972.67 – $4,631.75
Cataract removal with lens implant: 10 of 40 insurance plan rates
  • AETNA — AETNA HSHS: 54.4% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA MEDICARE: 22% (a percentage in the contract, not a dollar amount)
  • AETNA — ALL COMMERCIAL AETNA: 70.3% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: 28% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: 28% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL BLUE CHOICE PLANS: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL HMO PHAI: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: 21% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: 23% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)

Source: St Francis Hospital’s standard charges file (hshs.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 24, 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 typeCritical Access Hospital
Address1215 Franciscan Dr, Litchfield, IL 62056
CountyMontgomery County
StateIllinois
Phone(217) 324‑2191
Emergency servicesYes
OwnershipVoluntary non-profit - Church
Medicare overall rating2 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number141350
Name in Medicare recordsST FRANCIS HOSPITAL
Profile levelMedicare data + hospital website
Name on the hospital’s websiteHSHS St. Francis Hospital
Official websitehshs.org
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. HSHS St. Francis Hospital — hshs.org
  2. Services — hshs.org
  3. Maternity Services at HSHS St. Francis Hospital — hshs.org
  4. Emergency Care at HSHS St. Francis Hospital — hshs.org
  5. Cancer Care Center at HSHS St. Francis Hospital — hshs.org
  6. Imaging & Radiology at HSHS St. Francis Hospital — hshs.org
  7. Orthopedics | HSHS St. Francis Hospital — hshs.org
  8. Surgery Center at HSHS St. Francis Hospital — hshs.org
  9. Rehabilitation Services | HSHS St. Francis Hospital (Litchfield, IL) — hshs.org
  10. Women's Health at HSHS St. Francis Hospital — hshs.org
  11. Laboratory services at HSHS St. Francis Hospital — hshs.org
  12. Community Outreach at HSHS St. Francis Hospital — hshs.org
  13. Gastroenterology at HSHS St. Francis Hospital — hshs.org