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Acute Care Hospital

St Johns Hospital

Springfield, Illinois · Sangamon County · Emergency services listed

Summary

St Johns Hospital is an acute care hospital in Springfield, Illinois. Medicare data lists emergency services. CMS overall star rating: 2 of 5 stars. Its official website lists 67 services, specialties and programs. Medicare lists 937 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

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

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)
67Services listed

Quick answers

Does St Johns Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at St Johns Hospital. In a medical emergency, call 911.
Where is St Johns Hospital?
800 E Carpenter St, Springfield, IL 62769, in Sangamon County, Illinois.
What is the phone number of St Johns Hospital?
(217) 544-6464, as listed by Medicare (CMS).
What is the Medicare star rating of St Johns Hospital?
2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4][5][6][9][10][12][15]

Conditions treated[7][12][13][15][16][17]

Treatments[9][10][11][12][13][14][17]

Procedures[4][5][13][15][16]

Programs and centers[4][6][8][9][11][12][14]

  • Women and Infants Center (Level III perinatal center)
  • Level III NICU (St. John's Children's Hospital)
  • Regional Wound Care Center
  • Cancer Center (partnership with SIU Medicine)
  • Regional Trauma Center
  • Air transport (helicopter)
  • Springfield Area Mobile Intensive Care System (SAMIC) EMS
  • Cancer Center (with SIU Medicine)
  • Infusion Center
  • Ostomy services
  • Cancer clinical trials (NRG Oncology)

Emergency care (hospital website)[4][6][7]

Emergency roomYes
Trauma designationLevel I

Visiting and practical information

Patient portalMyHSHS

Recognition[4][6]

  • Level I trauma center
  • Commission on Cancer accredited cancer center
  • Level II pediatric trauma center (St. John's Children's Hospital)

Doctors and clinicians (937)

937 doctors and other clinicians list St Johns 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 (937)

And 913 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 →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

About the Medicare star rating

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

Medicare quality data

What St Johns 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) 2 of 5 stars
Overall rating of the hospital2 of 5 stars
Would recommend the hospital3 of 5 stars
Nurses communicated well2 of 5 stars
Doctors communicated well2 of 5 stars
Staff explained medicines1 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean1 of 5 stars
Quiet at night3 of 5 stars
Rated the hospital 9 or 10 out of 1063%National average: 72%
Would definitely recommend the hospital61%National average: 71%
Nurses “always” communicated well73%National average: 80%
Doctors “always” communicated well74%National average: 80%
Staff “always” explained medicines before giving them51%National average: 62%
Were given information about recovery at home84%National average: 86%
Room and bathroom “always” clean53%National average: 74%
Area around the room “always” quiet at night53%National average: 60%
Completed surveys490Response rate: 21%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)0.415Better than the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.303Better than the national benchmark
Surgical site infections after colon surgery1.173No different from the national benchmark
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infections0.247Better than the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.158Better than the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients12.3%
Deaths within 30 days: heart failure patients12.3%
Deaths within 30 days: pneumonia patients19.4%
Deaths within 30 days: COPD patients9.4%
Deaths within 30 days: stroke patients12.7%
Deaths within 30 days: coronary bypass surgery (CABG)2.3%
Serious complications (patient safety indicator PSI-90)1.53Worse than the national rate
Complications after hip or knee replacement4.3%

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 attack15.3%
Readmitted within 30 days: heart failure22.2%
Readmitted within 30 days: pneumonia16.4%
Readmitted within 30 days: COPD19.7%
Readmitted within 30 days: coronary bypass surgery9.7%
Readmitted within 30 days: hip or knee replacement5.9%

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)High (40,000–59,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)160 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)64%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 77 common services exactly as St Johns 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 →

$ 4 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Office and emergency visits

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 $669 $481.68 $115.84 – $669
New patient office visit (about 30–44 minutes): 10 of 40 insurance plan rates
  • AETNA — AETNA HSHS: $362.60
  • AETNA — ALL COMMERCIAL AETNA: $306.40
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $187.32
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $187.32
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $265
  • CIGNA — ALL COMMERCIAL CIGNA: $381.33
  • CITY OF SPRINGFIELD — CITY OF SPRINGFIELD WORKCOMP: $341.19
  • CONSOCIATE GROUP — ALL COMMERCIAL CONSOCIATE GROUP: $468.30
  • CURRENT HEALTH SOLUTIONS — ALL COMMERCIAL CURRENT HEALTH SOLUTIONS: $334.50
  • FIRST HEALTH — ALL COMMERCIAL FIRST HEALTH NETWORK: $493.05
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 $669 $481.68 $115.84 – $669
New patient office visit (about 30–44 minutes): 10 of 40 insurance plan rates
  • AETNA — AETNA HSHS: $362.60
  • AETNA — ALL COMMERCIAL AETNA: $306.40
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $187.32
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $187.32
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $265
  • CIGNA — ALL COMMERCIAL CIGNA: $381.33
  • CITY OF SPRINGFIELD — CITY OF SPRINGFIELD WORKCOMP: $341.19
  • CONSOCIATE GROUP — ALL COMMERCIAL CONSOCIATE GROUP: $468.30
  • CURRENT HEALTH SOLUTIONS — ALL COMMERCIAL CURRENT HEALTH SOLUTIONS: $334.50
  • FIRST HEALTH — ALL COMMERCIAL FIRST HEALTH NETWORK: $493.05
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: HC CLINIC VISIT COMPLEX NEW $894 $643.68 $173.49 – $894
New patient office visit (about 45–59 minutes): 10 of 40 insurance plan rates
  • AETNA — AETNA HSHS: $484.55
  • AETNA — ALL COMMERCIAL AETNA: $409.45
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $250.32
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $250.32
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $265
  • CIGNA — ALL COMMERCIAL CIGNA: $509.58
  • CITY OF SPRINGFIELD — CITY OF SPRINGFIELD WORKCOMP: $455.94
  • CONSOCIATE GROUP — ALL COMMERCIAL CONSOCIATE GROUP: $625.80
  • CURRENT HEALTH SOLUTIONS — ALL COMMERCIAL CURRENT HEALTH SOLUTIONS: $447
  • FIRST HEALTH — ALL COMMERCIAL FIRST HEALTH NETWORK: $658.88
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 $894 $643.68 $173.49 – $894
New patient office visit (about 45–59 minutes): 10 of 40 insurance plan rates
  • AETNA — AETNA HSHS: $484.55
  • AETNA — ALL COMMERCIAL AETNA: $409.45
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $250.32
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $250.32
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $265
  • CIGNA — ALL COMMERCIAL CIGNA: $509.58
  • CITY OF SPRINGFIELD — CITY OF SPRINGFIELD WORKCOMP: $455.94
  • CONSOCIATE GROUP — ALL COMMERCIAL CONSOCIATE GROUP: $625.80
  • CURRENT HEALTH SOLUTIONS — ALL COMMERCIAL CURRENT HEALTH SOLUTIONS: $447
  • FIRST HEALTH — ALL COMMERCIAL FIRST HEALTH NETWORK: $658.88
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: HC CLINIC VISIT COMPREH NEW $1,259 $906.48 $229.84 – $1,259
New patient office visit (about 60–74 minutes): 10 of 40 insurance plan rates
  • AETNA — AETNA HSHS: $682.38
  • AETNA — ALL COMMERCIAL AETNA: $576.62
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $352.52
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $352.52
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $265
  • CIGNA — ALL COMMERCIAL CIGNA: $717.63
  • CITY OF SPRINGFIELD — CITY OF SPRINGFIELD WORKCOMP: $642.09
  • CONSOCIATE GROUP — ALL COMMERCIAL CONSOCIATE GROUP: $881.30
  • CURRENT HEALTH SOLUTIONS — ALL COMMERCIAL CURRENT HEALTH SOLUTIONS: $629.50
  • FIRST HEALTH — ALL COMMERCIAL FIRST HEALTH NETWORK: $927.88
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 $1,259 $906.48 $229.84 – $1,259
New patient office visit (about 60–74 minutes): 10 of 40 insurance plan rates
  • AETNA — AETNA HSHS: $682.38
  • AETNA — ALL COMMERCIAL AETNA: $576.62
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $352.52
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $352.52
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $265
  • CIGNA — ALL COMMERCIAL CIGNA: $717.63
  • CITY OF SPRINGFIELD — CITY OF SPRINGFIELD WORKCOMP: $642.09
  • CONSOCIATE GROUP — ALL COMMERCIAL CONSOCIATE GROUP: $881.30
  • CURRENT HEALTH SOLUTIONS — ALL COMMERCIAL CURRENT HEALTH SOLUTIONS: $629.50
  • FIRST HEALTH — ALL COMMERCIAL FIRST HEALTH NETWORK: $927.88
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: HC CLINIC VISIT INTERM EST $451 $324.72 $93.54 – $451
Established patient office visit (about 20–29 minutes): 10 of 40 insurance plan rates
  • AETNA — AETNA HSHS: $244.44
  • AETNA — ALL COMMERCIAL AETNA: $206.56
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $126.28
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $126.28
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $265
  • CIGNA — ALL COMMERCIAL CIGNA: $257.07
  • CITY OF SPRINGFIELD — CITY OF SPRINGFIELD WORKCOMP: $230.01
  • CONSOCIATE GROUP — ALL COMMERCIAL CONSOCIATE GROUP: $315.70
  • CURRENT HEALTH SOLUTIONS — ALL COMMERCIAL CURRENT HEALTH SOLUTIONS: $225.50
  • FIRST HEALTH — ALL COMMERCIAL FIRST HEALTH NETWORK: $332.39
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 $451 $324.72 $93.54 – $451
Established patient office visit (about 20–29 minutes): 10 of 40 insurance plan rates
  • AETNA — AETNA HSHS: $244.44
  • AETNA — ALL COMMERCIAL AETNA: $206.56
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $126.28
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $126.28
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $265
  • CIGNA — ALL COMMERCIAL CIGNA: $257.07
  • CITY OF SPRINGFIELD — CITY OF SPRINGFIELD WORKCOMP: $230.01
  • CONSOCIATE GROUP — ALL COMMERCIAL CONSOCIATE GROUP: $315.70
  • CURRENT HEALTH SOLUTIONS — ALL COMMERCIAL CURRENT HEALTH SOLUTIONS: $225.50
  • FIRST HEALTH — ALL COMMERCIAL FIRST HEALTH NETWORK: $332.39
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · modifier 27 In the file: HC CLINIC VISIT INTERM EST $451 $324.72 $93.54 – $451
Established patient office visit (about 20–29 minutes): 10 of 40 insurance plan rates
  • AETNA — AETNA HSHS: $244.44
  • AETNA — ALL COMMERCIAL AETNA: $206.56
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $126.28
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $126.28
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $265
  • CIGNA — ALL COMMERCIAL CIGNA: $257.07
  • CITY OF SPRINGFIELD — CITY OF SPRINGFIELD WORKCOMP: $230.01
  • CONSOCIATE GROUP — ALL COMMERCIAL CONSOCIATE GROUP: $315.70
  • CURRENT HEALTH SOLUTIONS — ALL COMMERCIAL CURRENT HEALTH SOLUTIONS: $225.50
  • FIRST HEALTH — ALL COMMERCIAL FIRST HEALTH NETWORK: $332.39
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: HC CLINIC VISIT COMPLX EST $702 $505.44 $196.56 – $702
Established patient office visit (about 30–39 minutes): 10 of 40 insurance plan rates
  • AETNA — AETNA HSHS: $380.48
  • AETNA — ALL COMMERCIAL AETNA: $321.52
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $196.56
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $196.56
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $265
  • CIGNA — ALL COMMERCIAL CIGNA: $400.14
  • CITY OF SPRINGFIELD — CITY OF SPRINGFIELD WORKCOMP: $358.02
  • CONSOCIATE GROUP — ALL COMMERCIAL CONSOCIATE GROUP: $491.40
  • CURRENT HEALTH SOLUTIONS — ALL COMMERCIAL CURRENT HEALTH SOLUTIONS: $351
  • FIRST HEALTH — ALL COMMERCIAL FIRST HEALTH NETWORK: $517.37
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 $702 $505.44 $196.56 – $702
Established patient office visit (about 30–39 minutes): 10 of 40 insurance plan rates
  • AETNA — AETNA HSHS: $380.48
  • AETNA — ALL COMMERCIAL AETNA: $321.52
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $196.56
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $196.56
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $265
  • CIGNA — ALL COMMERCIAL CIGNA: $400.14
  • CITY OF SPRINGFIELD — CITY OF SPRINGFIELD WORKCOMP: $358.02
  • CONSOCIATE GROUP — ALL COMMERCIAL CONSOCIATE GROUP: $491.40
  • CURRENT HEALTH SOLUTIONS — ALL COMMERCIAL CURRENT HEALTH SOLUTIONS: $351
  • FIRST HEALTH — ALL COMMERCIAL FIRST HEALTH NETWORK: $517.37
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · modifier XU In the file: HC CLINIC VISIT COMPLX EST $702 $505.44 $196.56 – $702
Established patient office visit (about 30–39 minutes): 10 of 40 insurance plan rates
  • AETNA — AETNA HSHS: $380.48
  • AETNA — ALL COMMERCIAL AETNA: $321.52
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $196.56
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $196.56
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $265
  • CIGNA — ALL COMMERCIAL CIGNA: $400.14
  • CITY OF SPRINGFIELD — CITY OF SPRINGFIELD WORKCOMP: $358.02
  • CONSOCIATE GROUP — ALL COMMERCIAL CONSOCIATE GROUP: $491.40
  • CURRENT HEALTH SOLUTIONS — ALL COMMERCIAL CURRENT HEALTH SOLUTIONS: $351
  • FIRST HEALTH — ALL COMMERCIAL FIRST HEALTH NETWORK: $517.37
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient In the file: HC LACTATION ASSESS LEVEL 4<60 $488 $351.36 $136.64 – $488
Office consultation with a specialist (moderate to high): 10 of 40 insurance plan rates
  • AETNA — AETNA HSHS: $264.50
  • AETNA — ALL COMMERCIAL AETNA: $223.50
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $136.64
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $136.64
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $265
  • CIGNA — ALL COMMERCIAL CIGNA: $278.16
  • CITY OF SPRINGFIELD — CITY OF SPRINGFIELD WORKCOMP: $248.88
  • CONSOCIATE GROUP — ALL COMMERCIAL CONSOCIATE GROUP: $341.60
  • CURRENT HEALTH SOLUTIONS — ALL COMMERCIAL CURRENT HEALTH SOLUTIONS: $244
  • FIRST HEALTH — ALL COMMERCIAL FIRST HEALTH NETWORK: $359.66
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: HC ER LEVEL 3 $1,159 $834.48 $292.53 – $1,159
Emergency room visit (moderate): 10 of 54 insurance plan rates
  • AETNA — AETNA HSHS: $628.18
  • AETNA — AETNA MEDICARE: $292.53
  • AETNA — ALL COMMERCIAL AETNA: $530.82
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $324.52
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $324.52
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $292.53
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $292.53
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $292.53
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $1,159
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $643.56
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · modifier 25 In the file: HC ER LEVEL 3-25 $1,159 $834.48 $292.53 – $1,159
Emergency room visit (moderate): 10 of 54 insurance plan rates
  • AETNA — AETNA HSHS: $628.18
  • AETNA — AETNA MEDICARE: $292.53
  • AETNA — ALL COMMERCIAL AETNA: $530.82
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $324.52
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $324.52
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $292.53
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $292.53
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $292.53
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $1,159
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $643.56
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · modifier XU In the file: HC ER LEVEL 3 $1,159 $834.48 $292.53 – $1,159
Emergency room visit (moderate): 10 of 54 insurance plan rates
  • AETNA — AETNA HSHS: $628.18
  • AETNA — AETNA MEDICARE: $292.53
  • AETNA — ALL COMMERCIAL AETNA: $530.82
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $324.52
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $324.52
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $292.53
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $292.53
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $292.53
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $1,159
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $643.56
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: HC ER LEVEL 4 $1,647 $1,185.84 $447.15 – $1,647
Emergency room visit (moderately high): 10 of 54 insurance plan rates
  • AETNA — AETNA HSHS: $892.67
  • AETNA — AETNA MEDICARE: $447.15
  • AETNA — ALL COMMERCIAL AETNA: $754.33
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $461.16
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $461.16
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $447.15
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $447.15
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $447.15
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $1,647
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $983.72
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · modifier 25 In the file: HC ER LEVEL 4-25 $1,647 $1,185.84 $447.15 – $1,647
Emergency room visit (moderately high): 10 of 54 insurance plan rates
  • AETNA — AETNA HSHS: $892.67
  • AETNA — AETNA MEDICARE: $447.15
  • AETNA — ALL COMMERCIAL AETNA: $754.33
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $461.16
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $461.16
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $447.15
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $447.15
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $447.15
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $1,647
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $983.72
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · modifier XU In the file: HC ER LEVEL 4 $1,647 $1,185.84 $447.15 – $1,647
Emergency room visit (moderately high): 10 of 54 insurance plan rates
  • AETNA — AETNA HSHS: $892.67
  • AETNA — AETNA MEDICARE: $447.15
  • AETNA — ALL COMMERCIAL AETNA: $754.33
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $461.16
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $461.16
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $447.15
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $447.15
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $447.15
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $1,647
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $983.72
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: HC ER LEVEL 5 $2,442 $1,758.24 $638.18 – $2,442
Emergency room visit (high): 10 of 54 insurance plan rates
  • AETNA — AETNA HSHS: $1,323.56
  • AETNA — AETNA MEDICARE: $638.18
  • AETNA — ALL COMMERCIAL AETNA: $1,118.44
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $683.76
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $683.76
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $638.18
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $638.18
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $638.18
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $2,442
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $1,404
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: HC ER LEVEL 5 SANE $2,371 $1,707.12 $638.18 – $2,371
Emergency room visit (high): 10 of 54 insurance plan rates
  • AETNA — AETNA HSHS: $1,285.08
  • AETNA — AETNA MEDICARE: $638.18
  • AETNA — ALL COMMERCIAL AETNA: $1,085.92
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $663.88
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $663.88
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $638.18
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $638.18
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $638.18
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $2,371
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $1,404
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · modifier 25 In the file: HC ER LEVEL 5-25 $2,442 $1,758.24 $638.18 – $2,442
Emergency room visit (high): 10 of 54 insurance plan rates
  • AETNA — AETNA HSHS: $1,323.56
  • AETNA — AETNA MEDICARE: $638.18
  • AETNA — ALL COMMERCIAL AETNA: $1,118.44
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $683.76
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $683.76
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $638.18
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $638.18
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $638.18
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $2,442
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $1,404

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 $175 $126 $6.35 – $175
Basic metabolic panel (blood test): 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $94.85
  • AETNA — AETNA MEDICARE: $8.46
  • AETNA — ALL COMMERCIAL AETNA: $13.69
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $49
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $49
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $8.46
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $8.46
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $8.46
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $16.92
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $18.61
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · modifier XE In the file: HC BASIC METABOLIC PANEL $343 $246.96 $6.35 – $343
Basic metabolic panel (blood test): 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $185.91
  • AETNA — AETNA MEDICARE: $8.46
  • AETNA — ALL COMMERCIAL AETNA: $13.69
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $96.04
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $96.04
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $8.46
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $8.46
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $8.46
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $16.92
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $18.61
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · modifier XS In the file: HC BASIC METABOLIC PANEL $343 $246.96 $6.35 – $343
Basic metabolic panel (blood test): 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $185.91
  • AETNA — AETNA MEDICARE: $8.46
  • AETNA — ALL COMMERCIAL AETNA: $13.69
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $96.04
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $96.04
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $8.46
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $8.46
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $8.46
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $16.92
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $18.61
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: COMPREHEN METABOLIC PANEL $213 $153.36 $6.35 – $213
Comprehensive metabolic panel (blood test): 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $115.45
  • AETNA — AETNA MEDICARE: $10.56
  • AETNA — ALL COMMERCIAL AETNA: $17.07
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $59.64
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $59.64
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $10.56
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $10.56
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $10.56
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $21.12
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $23.23
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: HC COMPREHENSIVE METABOLIC PANEL $322 $231.84 $6.35 – $322
Comprehensive metabolic panel (blood test): 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $174.52
  • AETNA — AETNA MEDICARE: $10.56
  • AETNA — ALL COMMERCIAL AETNA: $17.07
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $90.16
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $90.16
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $10.56
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $10.56
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $10.56
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $21.12
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $23.23
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · modifier PO In the file: HC COMPREHENSIVE METABOLIC PANEL $322 $231.84 $6.35 – $322
Comprehensive metabolic panel (blood test): 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $174.52
  • AETNA — AETNA MEDICARE: $10.56
  • AETNA — ALL COMMERCIAL AETNA: $17.07
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $90.16
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $90.16
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $10.56
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $10.56
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $10.56
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $21.12
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $23.23
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: HC LIPID PANEL $258 $185.76 $6.35 – $258
Cholesterol panel (lipid panel): 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $139.84
  • AETNA — AETNA MEDICARE: $13.39
  • AETNA — ALL COMMERCIAL AETNA: $21.66
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $72.24
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $72.24
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $13.39
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $13.39
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $13.39
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $26.78
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $29.46
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · modifier 90 In the file: HC LIPID PANEL - 90 $224 $161.28 $6.35 – $224
Cholesterol panel (lipid panel): 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $121.41
  • AETNA — AETNA MEDICARE: $13.39
  • AETNA — ALL COMMERCIAL AETNA: $21.66
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $62.72
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $62.72
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $13.39
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $13.39
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $13.39
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $26.78
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $29.46
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · modifier PN In the file: HC LIPID PANEL $258 $185.76 $6.35 – $258
Cholesterol panel (lipid panel): 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $139.84
  • AETNA — AETNA MEDICARE: $13.39
  • AETNA — ALL COMMERCIAL AETNA: $21.66
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $72.24
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $72.24
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $13.39
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $13.39
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $13.39
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $26.78
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $29.46
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: HC RENAL PANEL $183 $131.76 $6.35 – $183
Kidney function panel: 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $99.19
  • AETNA — AETNA MEDICARE: $8.68
  • AETNA — ALL COMMERCIAL AETNA: $14.02
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $51.24
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $51.24
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $8.68
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $8.68
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $8.68
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $17.36
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $19.10
Kidney function panel CPT 80069 · Inpatient or outpatient · modifier PN In the file: HC RENAL PANEL $183 $131.76 $6.35 – $183
Kidney function panel: 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $99.19
  • AETNA — AETNA MEDICARE: $8.68
  • AETNA — ALL COMMERCIAL AETNA: $14.02
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $51.24
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $51.24
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $8.68
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $8.68
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $8.68
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $17.36
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $19.10
Kidney function panel CPT 80069 · Inpatient or outpatient · modifier 59 In the file: HC RENAL PANEL $183 $131.76 $6.35 – $183
Kidney function panel: 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $99.19
  • AETNA — AETNA MEDICARE: $8.68
  • AETNA — ALL COMMERCIAL AETNA: $14.02
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $51.24
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $51.24
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $8.68
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $8.68
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $8.68
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $17.36
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $19.10
Liver function panel CPT 80076 · Inpatient or outpatient In the file: HC LIVER (HEPATIC) PANEL $154 $110.88 $6.35 – $154
Liver function panel: 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $83.47
  • AETNA — AETNA MEDICARE: $8.17
  • AETNA — ALL COMMERCIAL AETNA: $13.22
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $43.12
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $43.12
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $8.17
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $8.17
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $8.17
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $16.34
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $17.97
Liver function panel CPT 80076 · Inpatient or outpatient · modifier PN In the file: HC LIVER (HEPATIC) PANEL $208 $149.76 $6.35 – $208
Liver function panel: 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $112.74
  • AETNA — AETNA MEDICARE: $8.17
  • AETNA — ALL COMMERCIAL AETNA: $13.22
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $58.24
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $58.24
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $8.17
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $8.17
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $8.17
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $16.34
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $17.97
Liver function panel CPT 80076 · Inpatient or outpatient · modifier PO In the file: HC LIVER (HEPATIC) PANEL $208 $149.76 $6.35 – $208
Liver function panel: 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $112.74
  • AETNA — AETNA MEDICARE: $8.17
  • AETNA — ALL COMMERCIAL AETNA: $13.22
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $58.24
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $58.24
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $8.17
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $8.17
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $8.17
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $16.34
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $17.97
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: HC URINALYSIS AUTO W/MICRO $84 $60.48 $2.12 – $84
Urine test (automated, with microscope): 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $45.53
  • AETNA — AETNA MEDICARE: $3.17
  • AETNA — ALL COMMERCIAL AETNA: $5.13
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $23.52
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $23.52
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $3.17
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $3.17
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $3.17
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $6.34
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $6.97
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · modifier PN In the file: HC URINALYSIS AUTO W/MICRO $84 $60.48 $2.12 – $84
Urine test (automated, with microscope): 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $45.53
  • AETNA — AETNA MEDICARE: $3.17
  • AETNA — ALL COMMERCIAL AETNA: $5.13
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $23.52
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $23.52
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $3.17
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $3.17
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $3.17
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $6.34
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $6.97
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · modifier XE In the file: HC URINALYSIS AUTO W/MICRO $84 $60.48 $2.12 – $84
Urine test (automated, with microscope): 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $45.53
  • AETNA — AETNA MEDICARE: $3.17
  • AETNA — ALL COMMERCIAL AETNA: $5.13
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $23.52
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $23.52
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $3.17
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $3.17
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $3.17
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $6.34
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $6.97
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: HC URANALYSIS NON AUTO W/O MICRO $47 $33.84 $2.12 – $47
Urine test (manual, without microscope): 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $25.47
  • AETNA — AETNA MEDICARE: $3.48
  • AETNA — ALL COMMERCIAL AETNA: $5.62
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $13.16
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $13.16
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $3.48
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $3.48
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $3.48
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $6.96
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $7.66
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · modifier 90 In the file: HC URINALYSIS NON AUTO W/O MICRO -90 $47 $33.84 $2.12 – $47
Urine test (manual, without microscope): 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $25.47
  • AETNA — AETNA MEDICARE: $3.48
  • AETNA — ALL COMMERCIAL AETNA: $5.62
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $13.16
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $13.16
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $3.48
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $3.48
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $3.48
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $6.96
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $7.66
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · modifier XU In the file: HC URANALYSIS NON AUTO W/O MICRO $47 $33.84 $2.12 – $47
Urine test (manual, without microscope): 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $25.47
  • AETNA — AETNA MEDICARE: $3.48
  • AETNA — ALL COMMERCIAL AETNA: $5.62
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $13.16
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $13.16
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $3.48
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $3.48
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $3.48
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $6.96
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $7.66
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · modifier QW In the file: URINALYSIS AUTO W/O SCOPE $64 $46.08 $2.12 – $64
Urine test (automated, without microscope): 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $34.69
  • AETNA — AETNA MEDICARE: $2.25
  • AETNA — ALL COMMERCIAL AETNA: $3.65
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $17.92
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $17.92
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $2.25
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $2.25
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $2.25
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $4.50
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $4.95
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: HC PSA TOTAL $141 $101.52 $8.40 – $141
PSA (prostate specific antigen) blood test: 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $76.42
  • AETNA — AETNA MEDICARE: $18.39
  • AETNA — ALL COMMERCIAL AETNA: $29.74
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $39.48
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $39.48
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $18.39
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $18.39
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $18.39
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $36.78
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $40.46
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · modifier 90 In the file: HC PSA TOTAL-90 $141 $101.52 $8.40 – $141
PSA (prostate specific antigen) blood test: 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $76.42
  • AETNA — AETNA MEDICARE: $18.39
  • AETNA — ALL COMMERCIAL AETNA: $29.74
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $39.48
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $39.48
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $18.39
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $18.39
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $18.39
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $36.78
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $40.46
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · modifier PN In the file: HC PSA TOTAL $141 $101.52 $8.40 – $141
PSA (prostate specific antigen) blood test: 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $76.42
  • AETNA — AETNA MEDICARE: $18.39
  • AETNA — ALL COMMERCIAL AETNA: $29.74
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $39.48
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $39.48
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $18.39
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $18.39
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $18.39
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $36.78
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $40.46
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: HC THYROID STIMULATING HORM $221 $159.12 $9.27 – $221
Thyroid stimulating hormone (TSH) test: 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $119.78
  • AETNA — AETNA MEDICARE: $16.80
  • AETNA — ALL COMMERCIAL AETNA: $27.17
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $61.88
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $61.88
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $16.80
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $16.80
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $16.80
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $33.60
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $36.96
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · modifier 90 In the file: HC THYROID STIMULATING HORM-90 $221 $159.12 $9.27 – $221
Thyroid stimulating hormone (TSH) test: 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $119.78
  • AETNA — AETNA MEDICARE: $16.80
  • AETNA — ALL COMMERCIAL AETNA: $27.17
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $61.88
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $61.88
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $16.80
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $16.80
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $16.80
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $33.60
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $36.96
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · modifier GA In the file: HC THYROID STIMULATING HORM $221 $159.12 $9.27 – $552.50
Thyroid stimulating hormone (TSH) test: 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $119.78
  • AETNA — AETNA MEDICARE: $16.80
  • AETNA — ALL COMMERCIAL AETNA: $27.17
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $61.88
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $61.88
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $16.80
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $221
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $221
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $33.60
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $221
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: COMPLETE CBC W/AUTO DIFF WBC $111 $79.92 $4.17 – $111
Complete blood count (CBC) with differential: 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $60.16
  • AETNA — AETNA MEDICARE: $7.77
  • AETNA — ALL COMMERCIAL AETNA: $12.56
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $31.08
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $31.08
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $7.77
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $7.77
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $7.77
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $15.54
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $17.09
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · modifier GA In the file: COMPLETE CBC W/AUTO DIFF WBC $111 $79.92 $4.17 – $277.50
Complete blood count (CBC) with differential: 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $60.16
  • AETNA — AETNA MEDICARE: $7.77
  • AETNA — ALL COMMERCIAL AETNA: $12.56
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $31.08
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $31.08
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $7.77
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $111
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $111
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $15.54
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $111
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · modifier 59 In the file: COMPLETE CBC W/AUTO DIFF WBC $111 $79.92 $4.17 – $111
Complete blood count (CBC) with differential: 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $60.16
  • AETNA — AETNA MEDICARE: $7.77
  • AETNA — ALL COMMERCIAL AETNA: $12.56
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $31.08
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $31.08
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $7.77
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $7.77
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $7.77
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $15.54
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $17.09
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: COMPLETE CBC AUTOMATED $99 $71.28 $4.17 – $99
Complete blood count (CBC), automated: 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $53.66
  • AETNA — AETNA MEDICARE: $6.47
  • AETNA — ALL COMMERCIAL AETNA: $10.45
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $27.72
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $27.72
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $6.47
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $6.47
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $6.47
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $12.94
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $14.23
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · modifier 91 In the file: COMPLETE CBC AUTOMATED $99 $71.28 $4.17 – $99
Complete blood count (CBC), automated: 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $53.66
  • AETNA — AETNA MEDICARE: $6.47
  • AETNA — ALL COMMERCIAL AETNA: $10.45
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $27.72
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $27.72
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $6.47
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $6.47
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $6.47
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $12.94
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $14.23
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · modifier AY In the file: COMPLETE CBC AUTOMATED $99 $71.28 $4.17 – $99
Complete blood count (CBC), automated: 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $53.66
  • AETNA — AETNA MEDICARE: $6.47
  • AETNA — ALL COMMERCIAL AETNA: $10.45
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $27.72
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $27.72
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $6.47
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $6.47
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $6.47
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $12.94
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $14.23
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: PROTHROMBIN TIME $77 $55.44 $3.11 – $77
Blood clotting time test (prothrombin time, PT): 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $41.73
  • AETNA — AETNA MEDICARE: $4.29
  • AETNA — ALL COMMERCIAL AETNA: $6.94
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $21.56
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $21.56
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $4.29
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $4.29
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $4.29
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $8.58
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $9.44
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · modifier 90 In the file: HC PROTHROMBIN TIME (PT)-90 $77 $55.44 $3.11 – $77
Blood clotting time test (prothrombin time, PT): 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $41.73
  • AETNA — AETNA MEDICARE: $4.29
  • AETNA — ALL COMMERCIAL AETNA: $6.94
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $21.56
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $21.56
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $4.29
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $4.29
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $4.29
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $8.58
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $9.44
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · modifier XU In the file: PROTHROMBIN TIME $77 $55.44 $3.11 – $77
Blood clotting time test (prothrombin time, PT): 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $41.73
  • AETNA — AETNA MEDICARE: $4.29
  • AETNA — ALL COMMERCIAL AETNA: $6.94
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $21.56
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $21.56
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $4.29
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $4.29
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $4.29
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $8.58
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $9.44
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: HC PTT $107 $77.04 $3.11 – $107
Blood clotting test (partial thromboplastin time, PTT): 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $57.99
  • AETNA — AETNA MEDICARE: $6.01
  • AETNA — ALL COMMERCIAL AETNA: $9.72
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $29.96
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $29.96
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $6.01
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $6.01
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $6.01
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $12.02
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $13.22
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · modifier 90 In the file: THROMBOPLASTIN TIME PARTIAL $107 $77.04 $3.11 – $107
Blood clotting test (partial thromboplastin time, PTT): 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $57.99
  • AETNA — AETNA MEDICARE: $6.01
  • AETNA — ALL COMMERCIAL AETNA: $9.72
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $29.96
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $29.96
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $6.01
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $6.01
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $6.01
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $12.02
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $13.22
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · modifier 91 In the file: HC PTT $107 $77.04 $3.11 – $107
Blood clotting test (partial thromboplastin time, PTT): 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $57.99
  • AETNA — AETNA MEDICARE: $6.01
  • AETNA — ALL COMMERCIAL AETNA: $9.72
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $29.96
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $29.96
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $6.01
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $6.01
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $6.01
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $12.02
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $13.22

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 $3,136 $2,257.92 $112.03 – $3,136
CT scan of the head or brain, without contrast: 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $1,699.71
  • AETNA — AETNA MEDICARE: $112.03
  • AETNA — ALL COMMERCIAL AETNA: $967
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $878.08
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $878.08
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $112.03
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $112.03
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $112.03
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $1,869.06
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $246.47
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 $3,136 $2,257.92 $112.03 – $3,136
CT scan of the head or brain, without contrast: 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $1,699.71
  • AETNA — AETNA MEDICARE: $112.03
  • AETNA — ALL COMMERCIAL AETNA: $967
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $878.08
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $878.08
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $112.03
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $112.03
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $112.03
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $1,869.06
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $246.47
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · modifier 77 In the file: HC CT HEAD/BRAIN W/O CONTRAST $3,136 $2,257.92 $112.03 – $3,136
CT scan of the head or brain, without contrast: 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $1,699.71
  • AETNA — AETNA MEDICARE: $112.03
  • AETNA — ALL COMMERCIAL AETNA: $967
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $878.08
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $878.08
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $112.03
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $112.03
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $112.03
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $1,869.06
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $246.47
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI BRAIN STEM W/O & W/DYE $7,581 $5,458.32 $352.85 – $7,581
MRI of the brain, before and after contrast: 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $4,108.90
  • AETNA — AETNA MEDICARE: $373.86
  • AETNA — ALL COMMERCIAL AETNA: $1,577
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $2,122.68
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $2,122.68
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $373.86
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $373.86
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $373.86
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $4,518.28
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $822.49
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · modifier MG In the file: MRI BRAIN STEM W/O & W/DYE $7,581 $5,458.32 $352.85 – $7,581
MRI of the brain, before and after contrast: 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $4,108.90
  • AETNA — AETNA MEDICARE: $373.86
  • AETNA — ALL COMMERCIAL AETNA: $1,577
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $2,122.68
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $2,122.68
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $373.86
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $373.86
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $373.86
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $4,518.28
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $822.49
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · modifier PN In the file: MRI BRAIN STEM W/O & W/DYE $7,581 $5,458.32 $352.85 – $7,581
MRI of the brain, before and after contrast: 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $4,108.90
  • AETNA — AETNA MEDICARE: $373.86
  • AETNA — ALL COMMERCIAL AETNA: $1,577
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $2,122.68
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $2,122.68
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $373.86
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $373.86
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $373.86
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $4,518.28
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $822.49
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: X-RAY EXAM CHEST 2 VIEWS $561 $403.92 $23.49 – $561
Chest X-ray, 2 views: 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $304.06
  • AETNA — AETNA MEDICARE: $93.26
  • AETNA — ALL COMMERCIAL AETNA: $41.84
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $157.08
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $157.08
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $93.26
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $93.26
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $93.26
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $334.36
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $205.17
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · modifier XU In the file: X-RAY EXAM CHEST 2 VIEWS $561 $403.92 $23.49 – $561
Chest X-ray, 2 views: 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $304.06
  • AETNA — AETNA MEDICARE: $93.26
  • AETNA — ALL COMMERCIAL AETNA: $41.84
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $157.08
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $157.08
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $93.26
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $93.26
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $93.26
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $334.36
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $205.17
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · modifier FY In the file: X-RAY EXAM CHEST 2 VIEWS $561 $403.92 $23.49 – $561
Chest X-ray, 2 views: 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $304.06
  • AETNA — AETNA MEDICARE: $83.93
  • AETNA — ALL COMMERCIAL AETNA: $41.84
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $157.08
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $157.08
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $83.93
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $83.93
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $83.93
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $334.36
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $205.17
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: HC XR L-SPINE 4+V $1,205 $867.60 $48.67 – $1,205
X-ray of the lower spine, at least 4 views: 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $653.11
  • AETNA — AETNA MEDICARE: $112.03
  • AETNA — ALL COMMERCIAL AETNA: $69.75
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $337.40
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $337.40
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $112.03
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $112.03
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $112.03
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $718.18
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $246.47
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · modifier PO In the file: HC XR L-SPINE 4+V $1,205 $867.60 $48.67 – $1,205
X-ray of the lower spine, at least 4 views: 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $653.11
  • AETNA — AETNA MEDICARE: $112.03
  • AETNA — ALL COMMERCIAL AETNA: $69.75
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $337.40
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $337.40
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $112.03
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $112.03
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $112.03
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $718.18
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $246.47
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 $1,205 $867.60 $48.67 – $1,205
X-ray of the lower spine, at least 4 views: 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $653.11
  • AETNA — AETNA MEDICARE: $112.03
  • AETNA — ALL COMMERCIAL AETNA: $69.75
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $337.40
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $337.40
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $112.03
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $112.03
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $112.03
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $718.18
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $246.47
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: HC MRI L-SPINE W/O CONTRAST $6,264 $4,510.08 $209.13 – $6,264
MRI of the lower back (lumbar spine), without contrast: 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $3,395.09
  • AETNA — AETNA MEDICARE: $255.69
  • AETNA — ALL COMMERCIAL AETNA: $1,577
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $1,753.92
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $1,753.92
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $255.69
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $255.69
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $255.69
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $3,733.34
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $562.52
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 $6,264 $4,510.08 $209.13 – $6,264
MRI of the lower back (lumbar spine), without contrast: 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $3,395.09
  • AETNA — AETNA MEDICARE: $255.69
  • AETNA — ALL COMMERCIAL AETNA: $1,577
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $1,753.92
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $1,753.92
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $255.69
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $255.69
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $255.69
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $3,733.34
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $562.52
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · modifier UA In the file: HC MRI L-SPINE W/O CONTRAST $6,264 $4,510.08 $209.13 – $6,264
MRI of the lower back (lumbar spine), without contrast: 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $3,395.09
  • AETNA — AETNA MEDICARE: $255.69
  • AETNA — ALL COMMERCIAL AETNA: $1,577
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $1,753.92
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $1,753.92
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $255.69
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $255.69
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $255.69
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $3,733.34
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $562.52
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: HC CT PELVIS W/CONTRAST $3,890 $2,800.80 $187.96 – $3,890
CT scan of the pelvis, with contrast: 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $2,108.38
  • AETNA — AETNA MEDICARE: $187.96
  • AETNA — ALL COMMERCIAL AETNA: $967
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $1,089.20
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $1,089.20
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $187.96
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $187.96
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $187.96
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $2,318.44
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $413.52
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · modifier UA In the file: HC CT PELVIS W/CONTRAST $3,890 $2,800.80 $187.96 – $3,890
CT scan of the pelvis, with contrast: 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $2,108.38
  • AETNA — AETNA MEDICARE: $187.96
  • AETNA — ALL COMMERCIAL AETNA: $967
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $1,089.20
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $1,089.20
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $187.96
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $187.96
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $187.96
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $2,318.44
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $413.52
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 $4,927 $3,547.44 $209.13 – $4,927
MRI of a leg joint (such as the knee), without contrast: 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $2,670.43
  • AETNA — AETNA MEDICARE: $255.69
  • AETNA — ALL COMMERCIAL AETNA: $1,577
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $1,379.56
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $1,379.56
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $255.69
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $255.69
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $255.69
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $2,936.49
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $562.52
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: HC CT ABDOMEN/PELVIS W/CONTRAST $7,578 $5,456.16 $263.47 – $7,578
CT scan of the abdomen and pelvis, with contrast: 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $4,107.28
  • AETNA — AETNA MEDICARE: $373.86
  • AETNA — ALL COMMERCIAL AETNA: $967
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $2,121.84
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $2,121.84
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $373.86
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $373.86
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $373.86
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $4,516.49
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $822.49
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · modifier XU In the file: HC CT ABDOMEN/PELVIS W/CONTRAST $7,578 $5,456.16 $263.47 – $7,578
CT scan of the abdomen and pelvis, with contrast: 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $4,107.28
  • AETNA — AETNA MEDICARE: $373.86
  • AETNA — ALL COMMERCIAL AETNA: $967
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $2,121.84
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $2,121.84
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $373.86
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $373.86
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $373.86
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $4,516.49
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $822.49
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · modifier 59 In the file: HC CT ABDOMEN/PELVIS W/CONTRAST $7,578 $5,456.16 $263.47 – $7,578
CT scan of the abdomen and pelvis, with contrast: 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $4,107.28
  • AETNA — AETNA MEDICARE: $373.86
  • AETNA — ALL COMMERCIAL AETNA: $967
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $2,121.84
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $2,121.84
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $373.86
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $373.86
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $373.86
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $4,516.49
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $822.49
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: HC US ABDOMEN CMPL $1,799 $1,295.28 $112.03 – $1,799
Ultrasound of the abdomen, complete: 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $975.06
  • AETNA — AETNA MEDICARE: $112.03
  • AETNA — ALL COMMERCIAL AETNA: $141.05
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $503.72
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $503.72
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $112.03
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $112.03
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $112.03
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $1,072.20
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $246.47
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · modifier PN In the file: HC US ABDOMEN CMPL $1,799 $1,295.28 $112.03 – $1,799
Ultrasound of the abdomen, complete: 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $975.06
  • AETNA — AETNA MEDICARE: $112.03
  • AETNA — ALL COMMERCIAL AETNA: $141.05
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $503.72
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $503.72
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $112.03
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $112.03
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $112.03
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $1,072.20
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $246.47
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · modifier PO In the file: HC US ABDOMEN CMPL $1,799 $1,295.28 $112.03 – $1,799
Ultrasound of the abdomen, complete: 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $975.06
  • AETNA — AETNA MEDICARE: $112.03
  • AETNA — ALL COMMERCIAL AETNA: $141.05
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $503.72
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $503.72
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $112.03
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $112.03
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $112.03
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $1,072.20
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $246.47
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: HC US PREGNANCY >14 WEEKS SGL $2,008 $1,445.76 $87.26 – $2,008
Pregnancy ultrasound (after the first trimester): 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $1,088.34
  • AETNA — AETNA MEDICARE: $112.03
  • AETNA — ALL COMMERCIAL AETNA: $159.11
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $562.24
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $562.24
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $112.03
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $112.03
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $112.03
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $1,196.77
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $246.47
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · modifier 59 In the file: HC US PREGNANCY >14 WEEKS SGL $2,008 $1,445.76 $87.26 – $2,008
Pregnancy ultrasound (after the first trimester): 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $1,088.34
  • AETNA — AETNA MEDICARE: $112.03
  • AETNA — ALL COMMERCIAL AETNA: $159.11
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $562.24
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $562.24
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $112.03
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $112.03
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $112.03
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $1,196.77
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $246.47
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: HC US TRANSVAGINAL $1,271 $915.12 $94.73 – $1,271
Transvaginal ultrasound: 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $688.88
  • AETNA — AETNA MEDICARE: $112.03
  • AETNA — ALL COMMERCIAL AETNA: $155.91
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $355.88
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $355.88
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $112.03
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $112.03
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $112.03
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $757.52
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $246.47
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · modifier 52 In the file: HC US TRANSVAGINAL $1,271 $915.12 $47.37 – $1,271
Transvaginal ultrasound: 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $688.88
  • AETNA — AETNA MEDICARE: $56.02
  • AETNA — ALL COMMERCIAL AETNA: $155.91
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $355.88
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $355.88
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $56.02
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $56.02
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $56.02
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $757.52
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $123.24
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · modifier PN In the file: HC US TRANSVAGINAL $1,271 $915.12 $94.73 – $1,271
Transvaginal ultrasound: 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $688.88
  • AETNA — AETNA MEDICARE: $112.03
  • AETNA — ALL COMMERCIAL AETNA: $155.91
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $355.88
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $355.88
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $112.03
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $112.03
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $112.03
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $757.52
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $246.47
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: HC MAMMOGRAM DIAG UNIL W/CAD ADDNT VIEW $530 $381.60 $41.39 – $530
Diagnostic mammogram, one breast: 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $287.26
  • AETNA — AETNA MEDICARE: $78.89
  • AETNA — ALL COMMERCIAL AETNA: $155.91
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $148.40
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $148.40
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $78.89
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $78.89
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $78.89
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $315.88
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $173.56
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: DX MAMMO INCL CAD UNI $477 $343.44 $41.39 – $477
Diagnostic mammogram, one breast: 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $258.53
  • AETNA — AETNA MEDICARE: $78.89
  • AETNA — ALL COMMERCIAL AETNA: $155.91
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $133.56
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $133.56
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $78.89
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $78.89
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $78.89
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $284.29
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $173.56
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · modifier FY In the file: DX MAMMO INCL CAD UNI $477 $343.44 $41.39 – $477
Diagnostic mammogram, one breast: 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $258.53
  • AETNA — AETNA MEDICARE: $71
  • AETNA — ALL COMMERCIAL AETNA: $155.91
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $133.56
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $133.56
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $71
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $71
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $71
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $284.29
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $173.56
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: HC MAMMOGRAM DIAG BILAT W/CAD $665 $478.80 $41.39 – $665
Diagnostic mammogram, both breasts: 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $360.43
  • AETNA — AETNA MEDICARE: $101.37
  • AETNA — ALL COMMERCIAL AETNA: $198.68
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $186.20
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $186.20
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $101.37
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $101.37
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $101.37
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $396.34
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $223.01
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: HC MAMMOGRAM DIAG BILAT W/CAD ADDNT VIEW $722 $519.84 $41.39 – $722
Diagnostic mammogram, both breasts: 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $391.32
  • AETNA — AETNA MEDICARE: $101.37
  • AETNA — ALL COMMERCIAL AETNA: $198.68
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $202.16
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $202.16
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $101.37
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $101.37
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $101.37
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $430.31
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $223.01
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · modifier GG In the file: HC MAMMOGRAM DIAG W/CAD UPGRADE BIL $665 $478.80 $41.39 – $665
Diagnostic mammogram, both breasts: 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $360.43
  • AETNA — AETNA MEDICARE: $101.37
  • AETNA — ALL COMMERCIAL AETNA: $198.68
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $186.20
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $186.20
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $101.37
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $101.37
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $101.37
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $396.34
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $223.01
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: SCR MAMMO BI INCL CAD $514 $370.08 $41.39 – $514
Screening mammogram, both breasts: 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $278.59
  • AETNA — AETNA MEDICARE: $83.47
  • AETNA — ALL COMMERCIAL AETNA: $164.81
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $143.92
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $143.92
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $83.47
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $83.47
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $83.47
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $306.34
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $183.63
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · modifier XU In the file: SCR MAMMO BI INCL CAD $514 $370.08 $41.39 – $514
Screening mammogram, both breasts: 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $278.59
  • AETNA — AETNA MEDICARE: $83.47
  • AETNA — ALL COMMERCIAL AETNA: $164.81
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $143.92
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $143.92
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $83.47
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $83.47
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $83.47
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $306.34
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $183.63
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · modifier FY In the file: SCR MAMMO BI INCL CAD $514 $370.08 $41.39 – $514
Screening mammogram, both breasts: 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $278.59
  • AETNA — AETNA MEDICARE: $75.12
  • AETNA — ALL COMMERCIAL AETNA: $164.81
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $143.92
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $143.92
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $75.12
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $75.12
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $75.12
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $306.34
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $183.63

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient In the file: HC LHC ONLY NO COROS 93452 $17,240 $12,412.80 $2,090.90 – $17,240
Left heart catheterization (diagnostic): 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $9,344.08
  • AETNA — AETNA MEDICARE: $3,474.11
  • AETNA — ALL COMMERCIAL AETNA: $7,895.92
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $4,827.20
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $4,827.20
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $3,474.11
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $3,474.11
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $3,474.11
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $10,275.04
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $7,643.05
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: LEFT HRT CATH W/VENTRCLGRPHY Not listed in the file Not listed in the file $2,090.90 – $17,240
Left heart catheterization (diagnostic): 10 of 38 insurance plan rates
  • AETNA — AETNA HSHS: 54.2% (a percentage in the contract, not a dollar amount)
  • AETNA — ALL COMMERCIAL AETNA: 45.8% (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 OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount)
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient In the file: HC EP COMPREHENSIVE W/O ARRHYTHMI 93619 $22,764 $16,390.08 $5,521.86 – $22,764
Heart rhythm study (electrophysiology evaluation): 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $12,338.09
  • AETNA — AETNA MEDICARE: $8,358.26
  • AETNA — ALL COMMERCIAL AETNA: $15,263
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $6,373.92
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $6,373.92
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $8,358.26
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $8,358.26
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $8,358.26
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $13,567.34
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $18,388.18
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient In the file: HC EP STUDY PLUS AFIB ABLATION 93656 $82,064 $59,086.08 $15,148.08 – $82,064
Heart rhythm study with ablation for atrial fibrillation: 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $44,478.69
  • AETNA — AETNA MEDICARE: $28,009.82
  • AETNA — ALL COMMERCIAL AETNA: $15,263
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $22,977.92
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $22,977.92
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $28,009.82
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $28,009.82
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $28,009.82
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $48,910.14
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $61,621.59
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient In the file: HC EP STUDY PLUS AFIB ABLATION W/LASER $81,785 $58,885.20 $15,148.08 – $81,785
Heart rhythm study with ablation for atrial fibrillation: 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $44,327.47
  • AETNA — AETNA MEDICARE: $28,009.82
  • AETNA — ALL COMMERCIAL AETNA: $15,263
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $22,899.80
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $22,899.80
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $28,009.82
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $28,009.82
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $28,009.82
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $48,743.86
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $61,621.59
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: COMPRE EP EVAL ABLTJ ATR FIB Not listed in the file Not listed in the file $15,148.08 – $81,259.81
Heart rhythm study with ablation for atrial fibrillation: 10 of 37 insurance plan rates
  • AETNA — AETNA HSHS: 54.2% (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 OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount)
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 59.6% (a percentage in the contract, not a dollar amount)
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: HC SLEEP STUDY $7,361 $5,299.92 $685.10 – $7,361
Sleep study (overnight, in a sleep lab): 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $3,989.66
  • AETNA — AETNA MEDICARE: $920.24
  • AETNA — ALL COMMERCIAL AETNA: $3,371.34
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $2,061.08
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $2,061.08
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $920.24
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $920.24
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $920.24
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $3,442
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $2,024.53
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 $7,361 $5,299.92 $342.55 – $7,361
Sleep study (overnight, in a sleep lab): 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $3,989.66
  • AETNA — AETNA MEDICARE: $460.12
  • AETNA — ALL COMMERCIAL AETNA: $3,371.34
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $2,061.08
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $2,061.08
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $460.12
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $460.12
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $460.12
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $3,442
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $1,012.27
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · modifier PO In the file: HC SLEEP STUDY $7,361 $5,299.92 $685.10 – $7,361
Sleep study (overnight, in a sleep lab): 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $3,989.66
  • AETNA — AETNA MEDICARE: $920.24
  • AETNA — ALL COMMERCIAL AETNA: $3,371.34
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $2,061.08
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $2,061.08
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $920.24
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $920.24
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $920.24
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $3,442
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $2,024.53

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: THERAPEUTIC EXERCISES $244 $175.68 $28.06 – $244
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $132.25
  • AETNA — AETNA MEDICARE: $28.06
  • AETNA — ALL COMMERCIAL AETNA: $188
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $68.32
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $68.32
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $28.06
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $28.06
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $28.06
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $145.42
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $61.73
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GO In the file: THERAPEUTIC EXERCISES $244 $175.68 $28.06 – $244
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $132.25
  • AETNA — AETNA MEDICARE: $28.06
  • AETNA — ALL COMMERCIAL AETNA: $188
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $68.32
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $68.32
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $28.06
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $28.06
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $28.06
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $145.42
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $61.73
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GP In the file: THERAPEUTIC EXERCISES $244 $175.68 $28.06 – $244
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $132.25
  • AETNA — AETNA MEDICARE: $28.06
  • AETNA — ALL COMMERCIAL AETNA: $188
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $68.32
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $68.32
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $28.06
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $28.06
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $28.06
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $145.42
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $61.73
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: PT EVAL LOW COMPLEX 20 MIN $483 $347.76 $94.04 – $483
Physical therapy evaluation (low complexity): 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $261.79
  • AETNA — AETNA MEDICARE: $94.04
  • AETNA — ALL COMMERCIAL AETNA: $188
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $135.24
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $135.24
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $94.04
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $94.04
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $94.04
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $287.87
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $206.89
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · modifier GP In the file: PT EVAL LOW COMPLEX 20 MIN $483 $347.76 $94.04 – $483
Physical therapy evaluation (low complexity): 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $261.79
  • AETNA — AETNA MEDICARE: $94.04
  • AETNA — ALL COMMERCIAL AETNA: $188
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $135.24
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $135.24
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $94.04
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $94.04
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $94.04
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $287.87
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $206.89
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: PT EVAL MOD COMPLEX 30 MIN $680 $489.60 $94.04 – $680
Physical therapy evaluation (moderate complexity): 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $368.56
  • AETNA — AETNA MEDICARE: $94.04
  • AETNA — ALL COMMERCIAL AETNA: $188
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $190.40
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $190.40
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $94.04
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $94.04
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $94.04
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $405.28
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $206.89
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · modifier GP In the file: PT EVAL MOD COMPLEX 30 MIN $680 $489.60 $94.04 – $680
Physical therapy evaluation (moderate complexity): 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $368.56
  • AETNA — AETNA MEDICARE: $94.04
  • AETNA — ALL COMMERCIAL AETNA: $188
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $190.40
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $190.40
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $94.04
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $94.04
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $94.04
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $405.28
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $206.89
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · modifier KX In the file: PT EVAL MOD COMPLEX 30 MIN $680 $489.60 $94.04 – $680
Physical therapy evaluation (moderate complexity): 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $368.56
  • AETNA — AETNA MEDICARE: $94.04
  • AETNA — ALL COMMERCIAL AETNA: $188
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $190.40
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $190.40
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $94.04
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $94.04
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $94.04
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $405.28
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $206.89
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: PT EVAL HIGH COMPLEX 45 MIN $779 $560.88 $94.04 – $779
Physical therapy evaluation (high complexity): 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $422.22
  • AETNA — AETNA MEDICARE: $94.04
  • AETNA — ALL COMMERCIAL AETNA: $188
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $218.12
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $218.12
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $94.04
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $94.04
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $94.04
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $464.28
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $206.89
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · modifier GP In the file: PT EVAL HIGH COMPLEX 45 MIN $779 $560.88 $94.04 – $779
Physical therapy evaluation (high complexity): 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $422.22
  • AETNA — AETNA MEDICARE: $94.04
  • AETNA — ALL COMMERCIAL AETNA: $188
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $218.12
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $218.12
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $94.04
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $94.04
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $94.04
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $464.28
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $206.89
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: HC THERAPY INDIVIDUAL PSYCH 30MIN $482 $347.04 $112.10 – $482
Psychotherapy, 30 minutes: 10 of 55 insurance plan rates
  • AETNA — AETNA HSHS: $261.24
  • AETNA — AETNA MEDICARE: $190.21
  • AETNA — ALL COMMERCIAL AETNA: $220.76
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $134.96
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $134.96
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $190.21
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $190.21
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $190.21
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $418.46
  • CIGNA — ALL COMMERCIAL CIGNA: $274.74
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · modifier XU In the file: HC THERAPY INDIVIDUAL PSYCH 30MIN $482 $347.04 $112.10 – $482
Psychotherapy, 30 minutes: 10 of 55 insurance plan rates
  • AETNA — AETNA HSHS: $261.24
  • AETNA — AETNA MEDICARE: $190.21
  • AETNA — ALL COMMERCIAL AETNA: $220.76
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $134.96
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $134.96
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $190.21
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $190.21
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $190.21
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $418.46
  • CIGNA — ALL COMMERCIAL CIGNA: $274.74
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · modifier XS In the file: HC THERAPY INDIVIDUAL PSYCH 30MIN $482 $347.04 $112.10 – $482
Psychotherapy, 30 minutes: 10 of 55 insurance plan rates
  • AETNA — AETNA HSHS: $261.24
  • AETNA — AETNA MEDICARE: $190.21
  • AETNA — ALL COMMERCIAL AETNA: $220.76
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $134.96
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $134.96
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $190.21
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $190.21
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $190.21
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $418.46
  • CIGNA — ALL COMMERCIAL CIGNA: $274.74
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: HC THERAPY INDIVIDUAL PSYCH 45MIN $482 $347.04 $133.94 – $482
Psychotherapy, 45 minutes: 10 of 55 insurance plan rates
  • AETNA — AETNA HSHS: $261.24
  • AETNA — AETNA MEDICARE: $190.21
  • AETNA — ALL COMMERCIAL AETNA: $220.76
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $134.96
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $134.96
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $190.21
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $190.21
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $190.21
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $418.46
  • CIGNA — ALL COMMERCIAL CIGNA: $274.74
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · modifier XU In the file: HC THERAPY INDIVIDUAL PSYCH 45MIN $482 $347.04 $133.94 – $482
Psychotherapy, 45 minutes: 10 of 55 insurance plan rates
  • AETNA — AETNA HSHS: $261.24
  • AETNA — AETNA MEDICARE: $190.21
  • AETNA — ALL COMMERCIAL AETNA: $220.76
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $134.96
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $134.96
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $190.21
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $190.21
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $190.21
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $418.46
  • CIGNA — ALL COMMERCIAL CIGNA: $274.74
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · modifier 59 In the file: HC THERAPY INDIVIDUAL PSYCH 45MIN $482 $347.04 $133.94 – $482
Psychotherapy, 45 minutes: 10 of 55 insurance plan rates
  • AETNA — AETNA HSHS: $261.24
  • AETNA — AETNA MEDICARE: $190.21
  • AETNA — ALL COMMERCIAL AETNA: $220.76
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $134.96
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $134.96
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $190.21
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $190.21
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $190.21
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $418.46
  • CIGNA — ALL COMMERCIAL CIGNA: $274.74
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient In the file: HC THERAPY INDIVIDUAL PSYCH 60MIN $482 $347.04 $133.94 – $482
Psychotherapy, 60 minutes: 10 of 55 insurance plan rates
  • AETNA — AETNA HSHS: $261.24
  • AETNA — AETNA MEDICARE: $190.21
  • AETNA — ALL COMMERCIAL AETNA: $220.76
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $134.96
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $134.96
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $190.21
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $190.21
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $190.21
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $418.46
  • CIGNA — ALL COMMERCIAL CIGNA: $274.74
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · modifier XP In the file: HC THERAPY INDIVIDUAL PSYCH 60MIN $482 $347.04 $133.94 – $482
Psychotherapy, 60 minutes: 10 of 55 insurance plan rates
  • AETNA — AETNA HSHS: $261.24
  • AETNA — AETNA MEDICARE: $190.21
  • AETNA — ALL COMMERCIAL AETNA: $220.76
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $134.96
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $134.96
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $190.21
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $190.21
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $190.21
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $418.46
  • CIGNA — ALL COMMERCIAL CIGNA: $274.74
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · modifier XU In the file: HC THERAPY INDIVIDUAL PSYCH 60MIN $482 $347.04 $133.94 – $482
Psychotherapy, 60 minutes: 10 of 55 insurance plan rates
  • AETNA — AETNA HSHS: $261.24
  • AETNA — AETNA MEDICARE: $190.21
  • AETNA — ALL COMMERCIAL AETNA: $220.76
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $134.96
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $134.96
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $190.21
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $190.21
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $190.21
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $418.46
  • CIGNA — ALL COMMERCIAL CIGNA: $274.74
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient In the file: HC THERAPY FAMILY PSYCH W/O PATIENT 50 MIN $538 $387.36 $146.08 – $538
Family psychotherapy, without the patient: 10 of 55 insurance plan rates
  • AETNA — AETNA HSHS: $291.60
  • AETNA — AETNA MEDICARE: $190.21
  • AETNA — ALL COMMERCIAL AETNA: $246.40
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $150.64
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $150.64
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $190.21
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $190.21
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $190.21
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $418.46
  • CIGNA — ALL COMMERCIAL CIGNA: $306.66
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient In the file: HC THERAPY FAMILY PSYCH W/PATIENT 50 MIN $571 $411.12 $146.08 – $571
Family psychotherapy, with the patient: 10 of 55 insurance plan rates
  • AETNA — AETNA HSHS: $309.48
  • AETNA — AETNA MEDICARE: $190.21
  • AETNA — ALL COMMERCIAL AETNA: $261.52
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $159.88
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $159.88
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $190.21
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $190.21
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $190.21
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $418.46
  • CIGNA — ALL COMMERCIAL CIGNA: $325.47
Group psychotherapy CPT 90853 · Inpatient or outpatient In the file: HC THERAPY GROUP PSYCH $278 $200.16 $77.84 – $278
Group psychotherapy: 10 of 55 insurance plan rates
  • AETNA — AETNA HSHS: $150.68
  • AETNA — AETNA MEDICARE: $108.87
  • AETNA — ALL COMMERCIAL AETNA: $127.32
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $77.84
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $77.84
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $108.87
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $108.87
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $108.87
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $239.50
  • CIGNA — ALL COMMERCIAL CIGNA: $158.46

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: REMOVAL OF BREAST LESION Not listed in the file Not listed in the file $566.09 – $10,489.63
Removal of breast growth (open surgery): 10 of 37 insurance plan rates
  • AETNA — AETNA HSHS: 54.2% (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 OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount)
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 59.6% (a percentage in the contract, not a dollar amount)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · modifier 50 In the file: REMOVAL OF BREAST LESION Not listed in the file Not listed in the file $566.09 – $10,489.63
Removal of breast growth (open surgery): 10 of 37 insurance plan rates
  • AETNA — AETNA HSHS: 54.2% (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 OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount)
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 59.6% (a percentage in the contract, not a dollar amount)
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 $8,089 – $34,395.42
Total hip replacement: 10 of 33 insurance plan rates
  • AETNA — AETNA HSHS: 54.2% (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 OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount)
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 59.6% (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 $8,089 – $34,395.42
Total knee replacement: 10 of 33 insurance plan rates
  • AETNA — AETNA HSHS: 54.2% (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 OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount)
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 59.6% (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 $8,882.23 – $34,395.42
Total knee replacement: 10 of 33 insurance plan rates
  • AETNA — AETNA HSHS: 54.2% (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 OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount)
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 59.6% (a percentage in the contract, not a dollar amount)
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 $1,676 – $8,196.22
Shoulder arthroscopy: shaving of shoulder bone: 10 of 37 insurance plan rates
  • AETNA — AETNA HSHS: 54.2% (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 OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount)
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 59.6% (a percentage in the contract, not a dollar amount)
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · modifier XU In the file: SHO ARTHRS SRG DECOMPRESSION Not listed in the file Not listed in the file $1,676 – $8,196.22
Shoulder arthroscopy: shaving of shoulder bone: 10 of 37 insurance plan rates
  • AETNA — AETNA HSHS: 54.2% (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 OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount)
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 59.6% (a percentage in the contract, not a dollar amount)
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · modifier XS In the file: SHO ARTHRS SRG DECOMPRESSION Not listed in the file Not listed in the file $1,676 – $8,196.22
Shoulder arthroscopy: shaving of shoulder bone: 10 of 37 insurance plan rates
  • AETNA — AETNA HSHS: 54.2% (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 OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount)
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 59.6% (a percentage in the contract, not a dollar amount)
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 $1,853.94 – $21,291.92
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 33 insurance plan rates
  • AETNA — AETNA HSHS: 54.2% (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 OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount)
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 59.6% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · modifier XS In the file: ARTHRS KNE SRG MNISECTMY M/L Not listed in the file Not listed in the file $1,853.94 – $21,291.92
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 33 insurance plan rates
  • AETNA — AETNA HSHS: 54.2% (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 OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount)
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 59.6% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · modifier 50 In the file: ARTHRS KNE SRG MNISECTMY M/L Not listed in the file Not listed in the file $2,780.91 – $21,291.92
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 33 insurance plan rates
  • AETNA — AETNA HSHS: 54.2% (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 OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount)
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 59.6% (a percentage in the contract, not a dollar amount)
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: REMOVE TONSILS AND ADENOIDS Not listed in the file Not listed in the file $1,676 – $15,859.50
Removal of tonsils and adenoids (under age 12): 10 of 37 insurance plan rates
  • AETNA — AETNA HSHS: 54.2% (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 OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount)
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 59.6% (a percentage in the contract, not a dollar amount)
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 $835.91 – $12,032.79
Upper GI endoscopy (diagnostic): 10 of 37 insurance plan rates
  • AETNA — AETNA HSHS: 54.2% (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 OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount)
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 59.6% (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 $835.91 – $4,634.29
Upper GI endoscopy (diagnostic): 10 of 37 insurance plan rates
  • AETNA — AETNA HSHS: 54.2% (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 OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount)
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 59.6% (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 $835.91 – $4,634.29
Upper GI endoscopy (diagnostic): 10 of 37 insurance plan rates
  • AETNA — AETNA HSHS: 54.2% (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 OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount)
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 59.6% (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 $835.91 – $5,548.22
Upper GI endoscopy with biopsy: 10 of 37 insurance plan rates
  • AETNA — AETNA HSHS: 54.2% (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 OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount)
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 59.6% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · modifier 59 In the file: EGD BIOPSY SINGLE/MULTIPLE Not listed in the file Not listed in the file $835.91 – $5,548.22
Upper GI endoscopy with biopsy: 10 of 37 insurance plan rates
  • AETNA — AETNA HSHS: 54.2% (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 OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount)
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 59.6% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · modifier 74 In the file: EGD BIOPSY SINGLE/MULTIPLE Not listed in the file Not listed in the file $835.91 – $5,548.22
Upper GI endoscopy with biopsy: 10 of 37 insurance plan rates
  • AETNA — AETNA HSHS: 54.2% (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 OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount)
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 59.6% (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 $854.15 – $3,494.25
Colonoscopy (diagnostic): 10 of 37 insurance plan rates
  • AETNA — AETNA HSHS: 54.2% (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 OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount)
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 59.6% (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 $854.15 – $5,704.10
Colonoscopy (diagnostic): 10 of 37 insurance plan rates
  • AETNA — AETNA HSHS: 54.2% (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 OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount)
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 59.6% (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 $427.07 – $5,704.10
Colonoscopy (diagnostic): 10 of 37 insurance plan rates
  • AETNA — AETNA HSHS: 54.2% (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 OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount)
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 59.6% (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 $854.15 – $9,400.88
Colonoscopy with biopsy: 10 of 37 insurance plan rates
  • AETNA — AETNA HSHS: 54.2% (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 OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount)
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 59.6% (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 $854.15 – $6,345.51
Colonoscopy with biopsy: 10 of 37 insurance plan rates
  • AETNA — AETNA HSHS: 54.2% (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 OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount)
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 59.6% (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 $854.15 – $6,345.51
Colonoscopy with biopsy: 10 of 37 insurance plan rates
  • AETNA — AETNA HSHS: 54.2% (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 OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount)
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 59.6% (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 $854.15 – $6,973.22
Colonoscopy with removal of polyps (snare): 10 of 37 insurance plan rates
  • AETNA — AETNA HSHS: 54.2% (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 OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount)
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 59.6% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · modifier XS In the file: COLONOSCOPY W/LESION REMOVAL Not listed in the file Not listed in the file $854.15 – $6,840.25
Colonoscopy with removal of polyps (snare): 10 of 37 insurance plan rates
  • AETNA — AETNA HSHS: 54.2% (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 OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount)
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 59.6% (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 $854.15 – $6,973.22
Colonoscopy with removal of polyps (snare): 10 of 37 insurance plan rates
  • AETNA — AETNA HSHS: 54.2% (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 OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount)
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 59.6% (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 $854.15 – $5,473.23
Screening colonoscopy (not high risk): 10 of 37 insurance plan rates
  • AETNA — AETNA HSHS: 54.2% (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 OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount)
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 59.6% (a percentage in the contract, not a dollar amount)
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · modifier KX In the file: COLON CA SCRN NOT HI RSK IND Not listed in the file Not listed in the file $854.15 – $5,473.23
Screening colonoscopy (not high risk): 10 of 37 insurance plan rates
  • AETNA — AETNA HSHS: 54.2% (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 OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount)
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 59.6% (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 $427.07 – $5,473.23
Screening colonoscopy (not high risk): 10 of 37 insurance plan rates
  • AETNA — AETNA HSHS: 54.2% (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 OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount)
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 59.6% (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 $2,975.85 – $24,734.79
Gallbladder removal by laparoscope: 10 of 33 insurance plan rates
  • AETNA — AETNA HSHS: 54.2% (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 OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount)
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 59.6% (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 $4,463.78 – $24,734.79
Gallbladder removal by laparoscope: 10 of 33 insurance plan rates
  • AETNA — AETNA HSHS: 54.2% (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 OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount)
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 59.6% (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 $3,054.09 – $16,630.27
Groin (inguinal) hernia repair, age 5 or older: 10 of 37 insurance plan rates
  • AETNA — AETNA HSHS: 54.2% (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 OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount)
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 59.6% (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 $4,581.14 – $16,630.27
Groin (inguinal) hernia repair, age 5 or older: 10 of 37 insurance plan rates
  • AETNA — AETNA HSHS: 54.2% (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 OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount)
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 59.6% (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 $1,475.51 – $6,146
Prostate biopsy: 10 of 43 insurance plan rates
  • AETNA — AETNA HSHS: $3,331.13
  • AETNA — ALL COMMERCIAL AETNA: $2,814.87
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $1,720.88
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $1,720.88
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $3,663.02
  • CIGNA — ALL COMMERCIAL CIGNA: $3,503.22
  • CITY OF SPRINGFIELD — CITY OF SPRINGFIELD WORKCOMP: $1,536
  • CONSOCIATE GROUP — ALL COMMERCIAL CONSOCIATE GROUP: $4,302.20
  • CURRENT HEALTH SOLUTIONS — ALL COMMERCIAL CURRENT HEALTH SOLUTIONS: $3,073
  • FIRST HEALTH — ALL COMMERCIAL FIRST HEALTH NETWORK: $4,529.60
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: BIOPSY OF PROSTATE Not listed in the file Not listed in the file $1,475.51 – $15,146.76
Prostate biopsy: 10 of 38 insurance plan rates
  • AETNA — AETNA HSHS: 54.2% (a percentage in the contract, not a dollar amount)
  • AETNA — ALL COMMERCIAL AETNA: 45.8% (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 OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount)
Prostate biopsy CPT 55700 · Inpatient or outpatient · modifier XU In the file: HC BX PROSTATE NEEDLE/PUNCH $6,146 $4,425.12 $1,475.51 – $6,146
Prostate biopsy: 10 of 43 insurance plan rates
  • AETNA — AETNA HSHS: $3,331.13
  • AETNA — ALL COMMERCIAL AETNA: $2,814.87
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $1,720.88
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $1,720.88
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $3,663.02
  • CIGNA — ALL COMMERCIAL CIGNA: $3,503.22
  • CITY OF SPRINGFIELD — CITY OF SPRINGFIELD WORKCOMP: $1,536
  • CONSOCIATE GROUP — ALL COMMERCIAL CONSOCIATE GROUP: $4,302.20
  • CURRENT HEALTH SOLUTIONS — ALL COMMERCIAL CURRENT HEALTH SOLUTIONS: $3,073
  • FIRST HEALTH — ALL COMMERCIAL FIRST HEALTH NETWORK: $4,529.60
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: LAPS SURG PRST8ECT RPBIC RAD Not listed in the file Not listed in the file $3,814.19 – $28,477.82
Prostate removal by laparoscope (radical prostatectomy): 10 of 33 insurance plan rates
  • AETNA — AETNA HSHS: 54.2% (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 OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount)
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 59.6% (a percentage in the contract, not a dollar amount)
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 – $15,746.35
Hysteroscopy with biopsy of the uterus lining: 10 of 37 insurance plan rates
  • AETNA — AETNA HSHS: 54.2% (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 OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount)
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 59.6% (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 – $15,746.35
Hysteroscopy with biopsy of the uterus lining: 10 of 37 insurance plan rates
  • AETNA — AETNA HSHS: 54.2% (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 OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount)
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 59.6% (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 – $15,746.35
Hysteroscopy with biopsy of the uterus lining: 10 of 37 insurance plan rates
  • AETNA — AETNA HSHS: 54.2% (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 OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount)
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 59.6% (a percentage in the contract, not a dollar amount)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: HC INJ INTRLAMNR LUM/SAC W/GUIDE $3,539 $2,548.08 $662.13 – $3,539
Spinal injection, lower back (epidural), with imaging guidance: 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $1,918.14
  • AETNA — AETNA MEDICARE: $756.44
  • AETNA — ALL COMMERCIAL AETNA: $3,002
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $990.92
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $990.92
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $756.44
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $756.44
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $756.44
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $2,109.24
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $1,664.16
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: NJX INTERLAMINAR LMBR/SAC Not listed in the file Not listed in the file $662.13 – $3,539
Spinal injection, lower back (epidural), with imaging guidance: 10 of 38 insurance plan rates
  • AETNA — AETNA HSHS: 54.2% (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 OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount)
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 59.6% (a percentage in the contract, not a dollar amount)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · modifier 50 In the file: HC INJ INTRLAMNR LUM/SAC W/GUIDE $3,539 $2,548.08 $662.13 – $3,539
Spinal injection, lower back (epidural), with imaging guidance: 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $1,918.14
  • AETNA — AETNA MEDICARE: $756.44
  • AETNA — ALL COMMERCIAL AETNA: $3,539
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $990.92
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $990.92
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $756.44
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $756.44
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $756.44
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $2,109.24
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $1,664.16
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: HC INJ TRANSF LUMBAR SACRAL SINGLE $4,971 $3,579.12 $662.13 – $4,971
Nerve root injection, lower back, with imaging guidance: 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $2,694.28
  • AETNA — AETNA MEDICARE: $947.82
  • AETNA — ALL COMMERCIAL AETNA: $3,002
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $1,391.88
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $1,391.88
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $947.82
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $947.82
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $947.82
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $2,962.72
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $2,085.20
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: NJX AA&/STRD TFRM EPI L/S 1 Not listed in the file Not listed in the file $662.13 – $5,067.93
Nerve root injection, lower back, with imaging guidance: 10 of 37 insurance plan rates
  • AETNA — AETNA HSHS: 54.2% (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 OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount)
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 59.6% (a percentage in the contract, not a dollar amount)
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · modifier XS In the file: HC INJ TRANSF LUMBAR SACRAL SINGLE $4,971 $3,579.12 $662.13 – $4,971
Nerve root injection, lower back, with imaging guidance: 10 of 57 insurance plan rates
  • AETNA — AETNA HSHS: $2,694.28
  • AETNA — AETNA MEDICARE: $947.82
  • AETNA — ALL COMMERCIAL AETNA: $3,002
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $1,391.88
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $1,391.88
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $947.82
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $947.82
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $947.82
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $2,962.72
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $2,085.20
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 $1,166.98 – $8,713.20
Carpal tunnel release: 10 of 37 insurance plan rates
  • AETNA — AETNA HSHS: 54.2% (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 OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount)
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 59.6% (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 $1,536 – $8,713.20
Carpal tunnel release: 10 of 37 insurance plan rates
  • AETNA — AETNA HSHS: 54.2% (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 OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount)
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 59.6% (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 $1,166.98 – $8,713.20
Carpal tunnel release: 10 of 37 insurance plan rates
  • AETNA — AETNA HSHS: 54.2% (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 OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount)
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 59.6% (a percentage in the contract, not a dollar amount)
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 $493.21 – $2,320.11
Laser treatment of clouding after cataract surgery: 10 of 37 insurance plan rates
  • AETNA — AETNA HSHS: 54.2% (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 OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount)
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 59.6% (a percentage in the contract, not a dollar amount)
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · modifier 50 In the file: AFTER CATARACT LASER SURGERY Not listed in the file Not listed in the file $649.63 – $2,320.11
Laser treatment of clouding after cataract surgery: 10 of 37 insurance plan rates
  • AETNA — AETNA HSHS: 54.2% (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 OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount)
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 59.6% (a percentage in the contract, not a dollar amount)
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · modifier PO In the file: AFTER CATARACT LASER SURGERY Not listed in the file Not listed in the file $493.21 – $2,320.11
Laser treatment of clouding after cataract surgery: 10 of 37 insurance plan rates
  • AETNA — AETNA HSHS: 54.2% (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 OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount)
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 59.6% (a percentage in the contract, not a dollar amount)
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 $1,479.31 – $11,771.91
Cataract removal with lens implant: 10 of 37 insurance plan rates
  • AETNA — AETNA HSHS: 54.2% (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 OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount)
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 59.6% (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 $1,479.31 – $11,771.91
Cataract removal with lens implant: 10 of 37 insurance plan rates
  • AETNA — AETNA HSHS: 54.2% (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 OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount)
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 59.6% (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 $2,218.96 – $11,771.91
Cataract removal with lens implant: 10 of 37 insurance plan rates
  • AETNA — AETNA HSHS: 54.2% (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 OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount)
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 59.6% (a percentage in the contract, not a dollar amount)

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC Not listed in the file Not listed in the file $118.21 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $374,319.68
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 28 insurance plan rates
  • AETNA — AETNA HSHS: 54.2% (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 OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount)
  • CONSOCIATE GROUP — ALL COMMERCIAL CONSOCIATE GROUP: 70% (a percentage in the contract, not a dollar amount)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC Not listed in the file Not listed in the file $118.21 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $81,138.94
Hip or knee replacement (major joint of the leg), without major complications: 10 of 28 insurance plan rates
  • AETNA — AETNA HSHS: 54.2% (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 OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount)
  • CONSOCIATE GROUP — ALL COMMERCIAL CONSOCIATE GROUP: 70% (a percentage in the contract, not a dollar amount)
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file Not listed in the file $118.21 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $85,056.31
Neck (cervical) spinal fusion, without complications: 10 of 28 insurance plan rates
  • AETNA — AETNA HSHS: 54.2% (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 OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount)
  • CONSOCIATE GROUP — ALL COMMERCIAL CONSOCIATE GROUP: 70% (a percentage in the contract, not a dollar amount)
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file Not listed in the file $118.21 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $51,716.35
Uterus and ovary surgery (not for cancer), without complications: 10 of 28 insurance plan rates
  • AETNA — AETNA HSHS: 54.2% (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 OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount)
  • CONSOCIATE GROUP — ALL COMMERCIAL CONSOCIATE GROUP: 70% (a percentage in the contract, not a dollar amount)

Source: St Johns 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 typeAcute Care Hospital
Address800 E Carpenter St, Springfield, IL 62769
CountySangamon County
StateIllinois
Phone(217) 544‑6464
Emergency servicesYes
OwnershipVoluntary non-profit - Church
Medicare overall rating2 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number140053
Name in Medicare recordsST JOHNS HOSPITAL
Profile levelMedicare data + hospital website
Name on the hospital’s websiteHSHS St. John's 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. John's Hospital — hshs.org
  2. Services — hshs.org
  3. Emergency Care — hshs.org
  4. Heart Attack and Stroke — hshs.org
  5. Emergency services at HSHS St. John's Hospital — hshs.org
  6. Cancer Care at HSHS St. John's Hospital — hshs.org
  7. Imaging at HSHS St. John's Hospital — hshs.org
  8. Infusion services at HSHS St. John's Hospital — hshs.org
  9. State-of-the-art, wound care and hyperbaric center — hshs.org
  10. Cancer screening services at HSHS St. John's Hospital — hshs.org
  11. Cancer support services at HSHS St. John's Hospital — hshs.org
  12. Bladder Cancer Detection | HSHS St. John's Hospital — hshs.org
  13. Lung cancer screening at HSHS St. John's Hospital — hshs.org
  14. Mammography at HSHS St. John's Hospital — hshs.org