Does St Mary Medical Center have an emergency room?

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

Where is St Mary Medical Center?

3333 North Seminary, Galesburg, IL 61401, in Knox County, Illinois.

What is the phone number of St Mary Medical Center?

(309) 344-3161, as listed by Medicare (CMS).

What is the Medicare star rating of St Mary Medical Center?

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

St Mary Medical Center — Galesburg, IL

Quick answers

Does St Mary Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at St Mary Medical Center. In a medical emergency, call 911.
Where is St Mary Medical Center?: 3333 North Seminary, Galesburg, IL 61401, in Knox County, Illinois.
What is the phone number of St Mary Medical Center?: (309) 344-3161, as listed by Medicare (CMS).
What is the Medicare star rating of St Mary Medical Center?: 2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4][7][8]

Emergency services
Pregnancy care
Sports medicine
Cardiology
Primary care
Emergency care
Behavioral and mental health
Brain and spine
Cancer care
Diabetes care
Heart and vascular
Inpatient care
Lung and pulmonology
Occupational health
Orthopedics
Pain management
Pregnancy and birth
Rehabilitation
Sleep medicine
Supportive and palliative care
Surgery
Testing and diagnostics
Urgent care
Women's health

Conditions treated^[6][8]

Programs and centers^{[4][6][7][8][9][10]}

Family Medicine Residency
Maternity care
Family Medicine Residency (with UI College of Medicine Peoria)
Emergency department
OSF PromptCare - Galesburg
EMS services
Diabetes program
Healthy Living programs
Patient and community education
Animal Assisted Therapy
Spiritual support
Social services

Emergency care (hospital website)^[4]

Emergency room	Yes

Visiting and practical information

Visiting	Regular visiting hours are 10 a.m.-8 p.m. daily; hours vary by department. Parents of pediatric patients and OB partners have 24-hour visitation^[11]
Parking	Patients can park in the open lot in front of the hospital^[12]
Patient portal	OSF MyChart

Recognition^[6]

Emergent Stroke Ready Hospital (Illinois Department of Public Health)
Blue Distinction Center+ for Maternity Care (BCBSIL, designated 2016)
SleepSite Qualified
Healthgrades Patient Safety Excellence Award
Healthgrades Outstanding Patient Excellence Award
Leapfrog Hospital Safety Grade A (Spring 2019 update)
Top 100 Rural & Community Hospital (iVantage)

Doctors and clinicians (564)

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

Main specialties

And 540 more: the button below opens the full list.

Other emergency rooms nearby

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

OSF Holy Family Medical Center16 mi · Monmouth, IL · Critical Access Hospital
Genesis Medical Center, Aledo25 mi · Aledo, IL · Critical Access Hospital
OSF Saint Luke Medical Center27 mi · Kewanee, IL · Critical Access Hospital
Hammond Henry Hospital34 mi · Geneseo, IL · Critical Access Hospital
Graham Hospital Association35 mi · Canton, IL · Acute Care Hospital

Other hospitals nearby

The Quad Cities Rehabilitation Institute34 mi · Moline, IL · Inpatient Rehabilitation Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Seminary Manor0.8 mi · Galesburg, IL · 2 of 5 stars
Marigold Rehabilitation and Health Care Center0.9 mi · Galesburg, IL · 1 of 5 stars
Allure of Lake Storey1.9 mi · Galesburg, IL · 5 of 5 stars

All nursing homes in the state →

Hospice providers

Beacon of Hope Hospice of Illinois3.2 mi · Galesburg, IL
Hospice Compassus - Northwest Illinois3.2 mi · Galesburg, IL · 4 of 5 stars

All hospice providers in the state →

Home health agencies

LHC - Illinois Home Health Care3.2 mi · Galesburg, IL · 3 of 5 stars
OSF Home Health-Western Region3.2 mi · Galesburg, IL · 4 of 5 stars
Western Ill Home Hlth Care in16 mi · Monmouth, IL

All home health agencies in the state →

Dialysis facilities

FMC - Galesburg3.2 mi · Galesburg, IL · 3 of 5 stars

All dialysis facilities in the state →

Community care nearby

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

Community health centers

Knox Community Health Center2.3 mi · Galesburg, IL · Community health center
Solvera Health Galesburg3.5 mi · Galesburg, IL · Community health center
Eagle View Community Health System Monmouth Clinic16 mi · Monmouth, IL · Community health center

Clinics and urgent care

Galesburg-Knoxville Graham Medical Group3.2 mi · Galesburg, IL · Rural health clinic
GMG South-Primary & Convenient Care3.2 mi · Galesburg, IL · Rural health clinic
Graham Medical Group Galesburg3.2 mi · Galesburg, IL · Rural health clinic

Pharmacies

Highland Park CVS LLC3.2 mi · Galesburg, IL · Pharmacy
Hy-Vee Inc3.2 mi · Galesburg, IL · Community/retail pharmacy
Hy-Vee Inc3.2 mi · Galesburg, IL · Community/retail pharmacy

About the Medicare star rating

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

Medicare quality data

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	3 of 5 stars
Overall rating of the hospital	2 of 5 stars
Would recommend the hospital	3 of 5 stars
Nurses communicated well	2 of 5 stars
Doctors communicated well	3 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	2 of 5 stars
Quiet at night	2 of 5 stars
Rated the hospital 9 or 10 out of 10	64%National average: 72%
Would definitely recommend the hospital	61%National average: 71%
Nurses “always” communicated well	75%National average: 80%
Doctors “always” communicated well	78%National average: 80%
Staff “always” explained medicines before giving them	58%National average: 62%
Were given information about recovery at home	87%National average: 86%
Room and bathroom “always” clean	61%National average: 74%
Area around the room “always” quiet at night	49%National average: 60%
Completed surveys	540Response rate: 23%

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)	2.793No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	1.984No different from the national benchmark
Surgical site infections after colon surgery	0.893No different from the national benchmark
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	0No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.294Better 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 patients	12.1%
Deaths within 30 days: heart failure patients	12.1%
Deaths within 30 days: pneumonia patients	19.3%
Deaths within 30 days: COPD patients	6.9%
Deaths within 30 days: stroke patients	10.7%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	0.86No different from the national rate
Complications after hip or knee replacement	5.1%

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	Too few cases to report
Readmitted within 30 days: heart failure	22.1%
Readmitted within 30 days: pneumonia	18.4%
Readmitted within 30 days: COPD	18.8%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Too few cases to report

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	192 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	4%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.

ER wait times in Illinois Best hospitals in Illinois

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 74 common services exactly as St Mary Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 99203 OP VISIT NEW PT LEVEL III	$342	$205.20	Not listed in the file
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 99204 OP VISIT NEW PT LEVEL IV	$544	$326.40	Not listed in the file
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 99205 OP VISIT NEW PT LEVEL V	$712	$427.20	Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 99213 OP VISIT EST PT LEVEL III	$295	$177	Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 99214 OP VISIT EST PT LEVEL IV	$445	$267	Not listed in the file
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$292.53 – $298.38
Emergency room visit (moderate): rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $295.45 BCBS — Medicare Managed Care Plan: $298.38 Humana — Medicare Managed Care Plan: $292.53
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 99283 ED VISIT, LEVEL III	$1,080	$648	Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$447.15 – $456.09
Emergency room visit (moderately high): rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $451.62 BCBS — Medicare Managed Care Plan: $456.09 Humana — Medicare Managed Care Plan: $447.15
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 99284 ED VISIT, LEVEL IV	$1,711	$1,026.60	Not listed in the file
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$638.18 – $650.95
Emergency room visit (high): rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $644.56 BCBS — Medicare Managed Care Plan: $650.95 Humana — Medicare Managed Care Plan: $638.18
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 99285 ED VISIT, LEVEL V	$2,844	$1,706.40	Not listed in the file

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Metabolic panel total ca	Not listed in the file	Not listed in the file	$8.46 – $8.63
Basic metabolic panel (blood test): rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $8.54 BCBS — Medicare Managed Care Plan: $8.63 Humana — Medicare Managed Care Plan: $8.46
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL W TOTAL CALCIUM	$296	$177.60	Not listed in the file
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL W TOTAL CALCIUM	$233	$139.80	Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehen metabolic panel	Not listed in the file	Not listed in the file	$10.56 – $10.77
Comprehensive metabolic panel (blood test): rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $10.67 BCBS — Medicare Managed Care Plan: $10.77 Humana — Medicare Managed Care Plan: $10.56
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMPREHENSIVE METABOLIC PANEL	$522	$313.20	Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPREHENSIVE METABOLIC PANEL	$372	$223.20	Not listed in the file
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric panel	Not listed in the file	Not listed in the file	$47.81 – $48.77
Obstetric blood test panel: rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $48.29 BCBS — Medicare Managed Care Plan: $48.77 Humana — Medicare Managed Care Plan: $47.81
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OBSTETRIC PANEL	$1,508	$904.80	Not listed in the file
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OBSTETRIC PANEL	$796	$477.60	Not listed in the file
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid panel	Not listed in the file	Not listed in the file	$13.39 – $13.66
Cholesterol panel (lipid panel): rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $13.52 BCBS — Medicare Managed Care Plan: $13.66 Humana — Medicare Managed Care Plan: $13.39
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC LIPID PANEL	$238	$142.80	Not listed in the file
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPID PANEL	$268	$160.80	Not listed in the file
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal function panel	Not listed in the file	Not listed in the file	$8.68 – $8.85
Kidney function panel: rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $8.77 BCBS — Medicare Managed Care Plan: $8.85 Humana — Medicare Managed Care Plan: $8.68
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL	$424	$254.40	Not listed in the file
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL	$265	$159	Not listed in the file
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic function panel	Not listed in the file	Not listed in the file	$8.17 – $8.33
Liver function panel: rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $8.25 BCBS — Medicare Managed Care Plan: $8.33 Humana — Medicare Managed Care Plan: $8.17
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL	$330	$198	Not listed in the file
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL	$191	$114.60	Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/scope	Not listed in the file	Not listed in the file	$3.17 – $3.23
Urine test (automated, with microscope): rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $3.20 BCBS — Medicare Managed Care Plan: $3.23 Humana — Medicare Managed Care Plan: $3.17
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC URINALYSIS, AUTO W/SCOPE	$148	$88.80	Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS, AUTO W/SCOPE	$129	$77.40	Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis nonauto w/o scope	Not listed in the file	Not listed in the file	$3.48 – $3.55
Urine test (manual, without microscope): rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $3.51 BCBS — Medicare Managed Care Plan: $3.55 Humana — Medicare Managed Care Plan: $3.48
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee · modifier QW In the file: HC URINALYSIS,NON AUTO W/O MICROSCOPY	$62	$37.20	Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier QW In the file: HC URINALYSIS,NON AUTO W/O MICROSCOPY	$58	$34.80	Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/o scope	Not listed in the file	Not listed in the file	$2.25 – $2.30
Urine test (automated, without microscope): rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $2.27 BCBS — Medicare Managed Care Plan: $2.30 Humana — Medicare Managed Care Plan: $2.25
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC URINALYSIS, AUTO W/O SCOPE	$125	$75	Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS, AUTO W/O SCOPE	$74	$44.40	Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay of psa total	Not listed in the file	Not listed in the file	$18.39 – $18.76
PSA (prostate specific antigen) blood test: rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $18.57 BCBS — Medicare Managed Care Plan: $18.76 Humana — Medicare Managed Care Plan: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC LAB PSA TOTAL	$406	$243.60	Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LAB PSA TOTAL	$233	$139.80	Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay thyroid stim hormone	Not listed in the file	Not listed in the file	$16.80 – $17.14
Thyroid stimulating hormone (TSH) test: rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $16.97 BCBS — Medicare Managed Care Plan: $17.14 Humana — Medicare Managed Care Plan: $16.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ASSAY THYROID STIM HORMONE	$236	$141.60	Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ASSAY THYROID STIM HORMONE	$240	$144	Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc w/auto diff wbc	Not listed in the file	Not listed in the file	$7.77 – $7.93
Complete blood count (CBC) with differential: rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $7.85 BCBS — Medicare Managed Care Plan: $7.93 Humana — Medicare Managed Care Plan: $7.77
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CBC - BLOOD COUNT; DIFFERENTIAL WBC	$173	$103.80	Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CBC - BLOOD COUNT; DIFFERENTIAL WBC	$153	$91.80	Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc automated	Not listed in the file	Not listed in the file	$6.47 – $6.60
Complete blood count (CBC), automated: rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $6.53 BCBS — Medicare Managed Care Plan: $6.60 Humana — Medicare Managed Care Plan: $6.47
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC BLOOD COUNT; HEMOGRAM & PLATELET COUNT	$108	$64.80	Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BLOOD COUNT; HEMOGRAM & PLATELET COUNT	$108	$64.80	Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin time	Not listed in the file	Not listed in the file	$4.29 – $4.38
Blood clotting time test (prothrombin time, PT): rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $4.33 BCBS — Medicare Managed Care Plan: $4.38 Humana — Medicare Managed Care Plan: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME	$182	$109.20	Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME	$119	$71.40	Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thromboplastin time partial	Not listed in the file	Not listed in the file	$6.01 – $6.13
Blood clotting test (partial thromboplastin time, PTT): rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $6.07 BCBS — Medicare Managed Care Plan: $6.13 Humana — Medicare Managed Care Plan: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC THROMBOPLASTIN TIME, PARTIAL (PTT)	$229	$137.40	Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THROMBOPLASTIN TIME, PARTIAL (PTT)	$116	$69.60	Not listed in the file

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct head/brain w/o dye	Not listed in the file	Not listed in the file	$112.03 – $114.27
CT scan of the head or brain, without contrast: rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $113.15 BCBS — Medicare Managed Care Plan: $114.27 Humana — Medicare Managed Care Plan: $112.03
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 70450 CT HEAD/BRAIN W/O CONTRAST	$4,078	$2,446.80	Not listed in the file
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC 70450 CT HEAD/BRAIN W/O CONTRAST	$4,078	$2,446.80	Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri brain stem w/o & w/dye	Not listed in the file	Not listed in the file	$373.86 – $381.34
MRI of the brain, before and after contrast: rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $377.60 BCBS — Medicare Managed Care Plan: $381.34 Humana — Medicare Managed Care Plan: $373.86
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 70553 MRI BRAIN (INC BRAIN STEM) WO/W CONTRAST	$6,866	$4,119.60	Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC 70553 MRI BRAIN (INC BRAIN STEM) WO/W CONTRAST	$6,866	$4,119.60	Not listed in the file
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam chest 2 views	Not listed in the file	Not listed in the file	$93.26 – $95.12
Chest X-ray, 2 views: rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $94.19 BCBS — Medicare Managed Care Plan: $95.12 Humana — Medicare Managed Care Plan: $93.26
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 71046 CHEST 2 VIEWS	$466	$279.60	Not listed in the file
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 71046 CHEST PA & LAT (EH)	$556	$333.60	Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam l-2 spine 4/>vws	Not listed in the file	Not listed in the file	$112.03 – $114.27
X-ray of the lower spine, at least 4 views: rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $113.15 BCBS — Medicare Managed Care Plan: $114.27 Humana — Medicare Managed Care Plan: $112.03
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 72110 SPINE LUMBAR MIN 4 VIEWS	$797	$478.20	Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri lumbar spine w/o dye	Not listed in the file	Not listed in the file	$255.69 – $260.80
MRI of the lower back (lumbar spine), without contrast: rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $258.25 BCBS — Medicare Managed Care Plan: $260.80 Humana — Medicare Managed Care Plan: $255.69
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI LUMBAR SPINE W/O CONTRAST	$6,866	$4,119.60	Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI LUMBAR SPINE W/O CONTRAST	$6,866	$4,119.60	Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct pelvis w/dye	Not listed in the file	Not listed in the file	$187.96 – $191.72
CT scan of the pelvis, with contrast: rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $189.84 BCBS — Medicare Managed Care Plan: $191.72 Humana — Medicare Managed Care Plan: $187.96
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 72193 CT PELVIS W/ CONTRAST	$4,079	$2,447.40	Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC 72193 CT PELVIS W/ CONTRAST	$4,079	$2,447.40	Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri jnt of lwr extre w/o dye	Not listed in the file	Not listed in the file	$255.69 – $260.80
MRI of a leg joint (such as the knee), without contrast: rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $258.25 BCBS — Medicare Managed Care Plan: $260.80 Humana — Medicare Managed Care Plan: $255.69
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee · modifier LT In the file: HC 73721 MRI LOW EXTREM, JOINT, W/O CONTRAST - LT	$6,866	$4,119.60	Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: HC 73721 MRI LOW EXTREM, JOINT, W/O CONTRAST - LT	$6,866	$4,119.60	Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct abd & pelv w/contrast	Not listed in the file	Not listed in the file	$373.86 – $381.34
CT scan of the abdomen and pelvis, with contrast: rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $377.60 BCBS — Medicare Managed Care Plan: $381.34 Humana — Medicare Managed Care Plan: $373.86
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 74177 CT ABD AND PELVIS, WITH CONTRAST	$5,890	$3,534	Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC 74177 CT ABD AND PELVIS, WITH CONTRAST	$5,890	$3,534	Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Us exam abdom complete	Not listed in the file	Not listed in the file	$112.03 – $114.27
Ultrasound of the abdomen, complete: rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $113.15 BCBS — Medicare Managed Care Plan: $114.27 Humana — Medicare Managed Care Plan: $112.03
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 76700 US ABDOMEN COMPLETE	$1,238	$742.80	Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ob us >/= 14 wks sngl fetus	Not listed in the file	Not listed in the file	$112.03 – $114.27
Pregnancy ultrasound (after the first trimester): rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $113.15 BCBS — Medicare Managed Care Plan: $114.27 Humana — Medicare Managed Care Plan: $112.03
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 76805 US PREG UTRS >14 WKS SGL FETS & MOM EVA	$1,238	$742.80	Not listed in the file
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Transvaginal us non-ob	Not listed in the file	Not listed in the file	$112.03 – $114.27
Transvaginal ultrasound: rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $113.15 BCBS — Medicare Managed Care Plan: $114.27 Humana — Medicare Managed Care Plan: $112.03
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 76830 US TRANSVAGINAL	$1,238	$742.80	Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Dx mammo incl cad uni	Not listed in the file	Not listed in the file	$88.75 – $90.52
Diagnostic mammogram, one breast: rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $89.64 BCBS — Medicare Managed Care Plan: $90.52 Humana — Medicare Managed Care Plan: $88.75
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee · modifier RT In the file: HC 77065 MAMMOGRAM,DIAGNOSTIC,+/- CAD,UNI-RT	$676	$405.60	Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee · modifier LT In the file: HC 77065 MAMMOGRAM,DIAGNOSTIC,+/- CAD,UNI-LT	$676	$405.60	Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 77066 MAMMOGRAM,DIAGNOSTIC,+/- CAD,BILATERAL	$811	$486.60	Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 77066 MAMMOGRAM,DIAGNOSTIC,+/- CAD,IMPLANTS,BILATERAL	$1,043	$625.80	Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Dx mammo incl cad bi	Not listed in the file	Not listed in the file	$111.97 – $114.21
Diagnostic mammogram, both breasts: rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $113.09 BCBS — Medicare Managed Care Plan: $114.21 Humana — Medicare Managed Care Plan: $111.97
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 77067 MAMMOGRAM SCREENING,+/- CAD,BILATERAL	$689	$413.40	Not listed in the file
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 77067 MAMMOGRAM SCRN,W/IMPLANTS,+/- CAD,BILAT	$689	$413.40	Not listed in the file
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 77067 MAMMOGRAM SCRN,W/IMPLANTS,+/- CAD,UNI-LT	$459	$275.40	Not listed in the file

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Left hrt cath w/ventrclgrphy	Not listed in the file	Not listed in the file	$3,474.11 – $12,241
Left heart catheterization (diagnostic): rates for 5 insurance plans Aetna — Medicare Managed Care Plan: $3,508.86 BCBS — Medicare Managed Care Plan: $3,543.60 Caterpillar — All Commercial Plans: $8,099 Humana — Medicare Managed Care Plan: $3,474.11 UnitedHealthCare — All Commercial Plans: $12,241
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Electrophysiology evaluation	Not listed in the file	Not listed in the file	$7,993 – $17,033
Heart rhythm study (electrophysiology evaluation): rates for 5 insurance plans Aetna — Medicare Managed Care Plan: $8,441.85 BCBS — Medicare Managed Care Plan: $8,525.43 Caterpillar — All Commercial Plans: $7,993 Humana — Medicare Managed Care Plan: $8,358.26 UnitedHealthCare — All Commercial Plans: $17,033
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Tx atrial fib pulm vein isol	Not listed in the file	Not listed in the file	$10,182 – $28,570.01
Heart rhythm study with ablation for atrial fibrillation: rates for 5 insurance plans Aetna — Medicare Managed Care Plan: $28,289.91 BCBS — Medicare Managed Care Plan: $28,570.01 Caterpillar — All Commercial Plans: $10,182 Humana — Medicare Managed Care Plan: $28,009.82 UnitedHealthCare — All Commercial Plans: $21,697
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 93656 COMP EP EVAL W TRNSEPTAL CATH INS/REPOS MULT ELECTRD CATHS	$25,743	$15,445.80	Not listed in the file
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Polysom 6/> yrs 4/> param	Not listed in the file	Not listed in the file	$920.24 – $938.65
Sleep study (overnight, in a sleep lab): rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $929.44 BCBS — Medicare Managed Care Plan: $938.65 Humana — Medicare Managed Care Plan: $920.24
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 95810 POLYSOMNOGRAPHY, 4 OR > PARAM	$7,541	$4,524.60	Not listed in the file
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee · modifier 52 In the file: HC 95810 POLYSOMNOGRAPH, 4 OR > PARAM-REDUC	$6,722	$4,033.20	Not listed in the file

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Therapeutic exercises	Not listed in the file	Not listed in the file	$29.67 – $30.26
Physical therapy: therapeutic exercise (each 15 minutes): rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $29.97 BCBS — Medicare Managed Care Plan: $30.26 Humana — Medicare Managed Care Plan: $29.67
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: HC 97110 PT THERAPEUTIC EXERCISE, EA 15 MIN	$175	$105	Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HC 97110 PT THERAPEUTIC EXERCISE, EA 15 MIN	$175	$105	Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval low complex 20 min	Not listed in the file	Not listed in the file	$98.89 – $100.87
Physical therapy evaluation (low complexity): rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $99.88 BCBS — Medicare Managed Care Plan: $100.87 Humana — Medicare Managed Care Plan: $98.89
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: HC 97161 PT EVALUATION, LOW COMPLEXITY	$386	$231.60	Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HC 97161 PT EVALUATION, LOW COMPLEXITY	$386	$231.60	Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval mod complex 30 min	Not listed in the file	Not listed in the file	$99.73 – $101.72
Physical therapy evaluation (moderate complexity): rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $100.73 BCBS — Medicare Managed Care Plan: $101.72 Humana — Medicare Managed Care Plan: $99.73
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: HC 97162 PT EVALUATION, MODERATE COMPLEXITY	$412	$247.20	Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HC 97162 PT EVALUATION, MODERATE COMPLEXITY	$412	$247.20	Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval high complex 45 min	Not listed in the file	Not listed in the file	$94.04 – $95.92
Physical therapy evaluation (high complexity): rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $94.98 BCBS — Medicare Managed Care Plan: $95.92 Humana — Medicare Managed Care Plan: $94.04
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: HC 97163 PT EVALUATION, HIGH COMPLEXITY	$464	$278.40	Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HC 97163 PT EVALUATION, HIGH COMPLEXITY	$464	$278.40	Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 90832 PSYCHOTHERAPY 30 MIN W/PT	$161	$96.60	Not listed in the file

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of breast lesion	Not listed in the file	Not listed in the file	$4,195.85 – $5,672
Removal of breast growth (open surgery): rates for 5 insurance plans Aetna — Medicare Managed Care Plan: $4,237.81 BCBS — Medicare Managed Care Plan: $4,279.77 Caterpillar — All Commercial Plans: $5,672 Humana — Medicare Managed Care Plan: $4,195.85 UnitedHealthCare — All Commercial Plans: $5,543
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total hip arthroplasty	Not listed in the file	Not listed in the file	$10,384 – $21,651
Total hip replacement: rates for 5 insurance plans Aetna — Medicare Managed Care Plan: $13,895.75 BCBS — Medicare Managed Care Plan: $14,033.33 Caterpillar — All Commercial Plans: $10,384 Humana — Medicare Managed Care Plan: $13,758.17 UnitedHealthCare — All Commercial Plans: $21,651
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total knee arthroplasty	Not listed in the file	Not listed in the file	$10,384 – $21,651
Total knee replacement: rates for 5 insurance plans Aetna — Medicare Managed Care Plan: $13,895.75 BCBS — Medicare Managed Care Plan: $14,033.33 Caterpillar — All Commercial Plans: $10,384 Humana — Medicare Managed Care Plan: $13,758.17 UnitedHealthCare — All Commercial Plans: $21,651
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Shoulder arthroscopy/surgery	Not listed in the file	Not listed in the file	$693 – $1,586
Shoulder arthroscopy: shaving of shoulder bone: rates for 2 insurance plans Caterpillar — All Commercial Plans: $1,586 UnitedHealthCare — All Commercial Plans: $693
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Knee arthroscopy/surgery	Not listed in the file	Not listed in the file	$3,506.34 – $6,675
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 5 insurance plans Aetna — Medicare Managed Care Plan: $3,541.40 BCBS — Medicare Managed Care Plan: $3,576.46 Caterpillar — All Commercial Plans: $6,675 Humana — Medicare Managed Care Plan: $3,506.34 UnitedHealthCare — All Commercial Plans: $6,223
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Remove tonsils and adenoids	Not listed in the file	Not listed in the file	$5,543 – $6,470.68
Removal of tonsils and adenoids (under age 12): rates for 5 insurance plans Aetna — Medicare Managed Care Plan: $6,407.24 BCBS — Medicare Managed Care Plan: $6,470.68 Caterpillar — All Commercial Plans: $5,672 Humana — Medicare Managed Care Plan: $6,343.80 UnitedHealthCare — All Commercial Plans: $5,543
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd diagnostic brush wash	Not listed in the file	Not listed in the file	$971.94 – $5,339
Upper GI endoscopy (diagnostic): rates for 5 insurance plans Aetna — Medicare Managed Care Plan: $981.66 BCBS — Medicare Managed Care Plan: $991.38 Caterpillar — All Commercial Plans: $5,339 Humana — Medicare Managed Care Plan: $971.94 UnitedHealthCare — All Commercial Plans: $4,157
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 43235 EGD, TRANSORAL DIAG W/SPEC COLL	$2,671	$1,602.60	Not listed in the file
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd biopsy single/multiple	Not listed in the file	Not listed in the file	$971.94 – $5,339
Upper GI endoscopy with biopsy: rates for 5 insurance plans Aetna — Medicare Managed Care Plan: $981.66 BCBS — Medicare Managed Care Plan: $991.38 Caterpillar — All Commercial Plans: $5,339 Humana — Medicare Managed Care Plan: $971.94 UnitedHealthCare — All Commercial Plans: $4,157
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 43239 ENDOSCOPY, UGI WITH BIOPSY SINGLE/MULTIPLE	$2,671	$1,602.60	Not listed in the file
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic colonoscopy	Not listed in the file	Not listed in the file	$996.56 – $5,339
Colonoscopy (diagnostic): rates for 5 insurance plans Aetna — Medicare Managed Care Plan: $1,006.53 BCBS — Medicare Managed Care Plan: $1,016.49 Caterpillar — All Commercial Plans: $5,339 Humana — Medicare Managed Care Plan: $996.56 UnitedHealthCare — All Commercial Plans: $4,157
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy and biopsy	Not listed in the file	Not listed in the file	$1,282.34 – $5,339
Colonoscopy with biopsy: rates for 5 insurance plans Aetna — Medicare Managed Care Plan: $1,295.17 BCBS — Medicare Managed Care Plan: $1,307.99 Caterpillar — All Commercial Plans: $5,339 Humana — Medicare Managed Care Plan: $1,282.34 UnitedHealthCare — All Commercial Plans: $4,157
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/lesion removal	Not listed in the file	Not listed in the file	$1,282.34 – $5,339
Colonoscopy with removal of polyps (snare): rates for 5 insurance plans Aetna — Medicare Managed Care Plan: $1,295.17 BCBS — Medicare Managed Care Plan: $1,307.99 Caterpillar — All Commercial Plans: $5,339 Humana — Medicare Managed Care Plan: $1,282.34 UnitedHealthCare — All Commercial Plans: $4,157
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/endoscope us	Not listed in the file	Not listed in the file	$1,282.34 – $5,339
Ultrasound of the lower bowel by endoscope: rates for 5 insurance plans Aetna — Medicare Managed Care Plan: $1,295.17 BCBS — Medicare Managed Care Plan: $1,307.99 Caterpillar — All Commercial Plans: $5,339 Humana — Medicare Managed Care Plan: $1,282.34 UnitedHealthCare — All Commercial Plans: $4,157
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind	Not listed in the file	Not listed in the file	$996.56 – $3,176
Screening colonoscopy (not high risk): rates for 5 insurance plans Aetna — Medicare Managed Care Plan: $1,006.53 BCBS — Medicare Managed Care Plan: $1,016.49 Caterpillar — All Commercial Plans: $3,176 Humana — Medicare Managed Care Plan: $996.56 UnitedHealthCare — All Commercial Plans: $1,963
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparoscopic cholecystectomy	Not listed in the file	Not listed in the file	$6,478.50 – $17,033
Gallbladder removal by laparoscope: rates for 5 insurance plans Aetna — Medicare Managed Care Plan: $6,543.28 BCBS — Medicare Managed Care Plan: $6,608.07 Caterpillar — All Commercial Plans: $7,993 Humana — Medicare Managed Care Plan: $6,478.50 UnitedHealthCare — All Commercial Plans: $17,033
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prp i/hern init reduc >5 yr	Not listed in the file	Not listed in the file	$3,836.82 – $6,675
Groin (inguinal) hernia repair, age 5 or older: rates for 5 insurance plans Aetna — Medicare Managed Care Plan: $3,875.19 BCBS — Medicare Managed Care Plan: $3,913.56 Caterpillar — All Commercial Plans: $6,675 Humana — Medicare Managed Care Plan: $3,836.82 UnitedHealthCare — All Commercial Plans: $6,223
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Biopsy of prostate	Not listed in the file	Not listed in the file	$4,157 – $5,339
Prostate biopsy: rates for 2 insurance plans Caterpillar — All Commercial Plans: $5,339 UnitedHealthCare — All Commercial Plans: $4,157
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparo radical prostatectomy	Not listed in the file	Not listed in the file	$10,384 – $21,651
Prostate removal by laparoscope (radical prostatectomy): rates for 5 insurance plans Aetna — Medicare Managed Care Plan: $11,505.04 BCBS — Medicare Managed Care Plan: $11,618.95 Caterpillar — All Commercial Plans: $10,384 Humana — Medicare Managed Care Plan: $11,391.13 UnitedHealthCare — All Commercial Plans: $21,651
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hysteroscopy biopsy	Not listed in the file	Not listed in the file	$3,468.96 – $5,672
Hysteroscopy with biopsy of the uterus lining: rates for 5 insurance plans Aetna — Medicare Managed Care Plan: $3,503.65 BCBS — Medicare Managed Care Plan: $3,538.34 Caterpillar — All Commercial Plans: $5,672 Humana — Medicare Managed Care Plan: $3,468.96 UnitedHealthCare — All Commercial Plans: $5,543
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Njx interlaminar lmbr/sac	Not listed in the file	Not listed in the file	$756.44 – $3,176
Spinal injection, lower back (epidural), with imaging guidance: rates for 5 insurance plans Aetna — Medicare Managed Care Plan: $764 BCBS — Medicare Managed Care Plan: $771.56 Caterpillar — All Commercial Plans: $3,176 Humana — Medicare Managed Care Plan: $756.44 UnitedHealthCare — All Commercial Plans: $1,963
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 62323 EPIDURAL NJX, LUMBAR/SACRAL WITH IMAGING	$1,494	$896.40	Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Inj foramen epidural l/s	Not listed in the file	Not listed in the file	$947.82 – $3,176
Nerve root injection, lower back, with imaging guidance: rates for 5 insurance plans Aetna — Medicare Managed Care Plan: $957.30 BCBS — Medicare Managed Care Plan: $966.77 Caterpillar — All Commercial Plans: $3,176 Humana — Medicare Managed Care Plan: $947.82 UnitedHealthCare — All Commercial Plans: $1,963
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee · modifier RT In the file: HC 64483 INJ TRANSFORAMINAL LUM/SCR SINGLE - RT	$2,447	$1,468.20	Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee · modifier LT In the file: HC 64483 INJ TRANSFORAMINAL LUM/SCR SINGLE LT	$2,447	$1,468.20	Not listed in the file
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Carpal tunnel surgery	Not listed in the file	Not listed in the file	$2,092.58 – $5,672
Carpal tunnel release: rates for 5 insurance plans Aetna — Medicare Managed Care Plan: $2,113.50 BCBS — Medicare Managed Care Plan: $2,134.43 Caterpillar — All Commercial Plans: $5,672 Humana — Medicare Managed Care Plan: $2,092.58 UnitedHealthCare — All Commercial Plans: $5,543
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: After cataract laser surgery	Not listed in the file	Not listed in the file	$589.39 – $3,176
Laser treatment of clouding after cataract surgery: rates for 5 insurance plans Aetna — Medicare Managed Care Plan: $595.28 BCBS — Medicare Managed Care Plan: $601.18 Caterpillar — All Commercial Plans: $3,176 Humana — Medicare Managed Care Plan: $589.39 UnitedHealthCare — All Commercial Plans: $1,963
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cataract surg w/iol 1 stage	Not listed in the file	Not listed in the file	$2,473.11 – $5,672
Cataract removal with lens implant: rates for 5 insurance plans Aetna — Medicare Managed Care Plan: $2,497.84 BCBS — Medicare Managed Care Plan: $2,522.57 Caterpillar — All Commercial Plans: $5,672 Humana — Medicare Managed Care Plan: $2,473.11 UnitedHealthCare — All Commercial Plans: $5,543

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee 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	$76,335.28 – $165,632.59
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 18 insurance plan rates Aetna — All Commercial Plans: $111,279.35 Aetna — Medicare Managed Care Plan: $77,098.63 BCBS — Blue Choice Preferred PPO: $114,439.19 BCBS — Medicare Managed Care Plan: $77,861.99 BCBS — PPO: $137,497.25 Caterpillar — All Commercial Plans: $154,617.15 Cigna — All Commercial Plans: $165,632.59 Humana — Medicare Managed Care Plan: $76,335.28 Meridian — Medicare Managed Care Plan: $76,335.28 Molina Healthcare — Medicare Managed Care Plan: $76,335.28
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Spinal Fusion Except Cervical Without Mcc	Not listed in the file	Not listed in the file	Not listed in the file
Spinal fusion (not neck), without major complications: rates for 4 insurance plans BCBS — Other Commercial Plan: 61.6% (a percentage in the contract, not a dollar amount) Healthsmart — All Commercial Plans: 90% (a percentage in the contract, not a dollar amount) OSFDAN — RFMS and Community Living Options Other Commercial Plan: 65% (a percentage in the contract, not a dollar amount) PHCS — All Commercial Plans: 85% (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) · Hospital (facility) fee 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	$15,051.22 – $32,658.21
Hip or knee replacement (major joint of the leg), without major complications: 10 of 18 insurance plan rates Aetna — All Commercial Plans: $21,941.24 Aetna — Medicare Managed Care Plan: $15,201.73 BCBS — Blue Choice Preferred PPO: $22,564.27 BCBS — Medicare Managed Care Plan: $15,352.24 BCBS — PPO: $27,110.69 Caterpillar — All Commercial Plans: $30,486.26 Cigna — All Commercial Plans: $32,658.21 Humana — Medicare Managed Care Plan: $15,051.22 Meridian — Medicare Managed Care Plan: $15,051.22 Molina Healthcare — Medicare Managed Care Plan: $15,051.22
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cervical Spinal Fusion Without Cc/Mcc	Not listed in the file	Not listed in the file	$19,049.49 – $41,333.65
Neck (cervical) spinal fusion, without complications: 10 of 18 insurance plan rates Aetna — All Commercial Plans: $27,769.79 Aetna — Medicare Managed Care Plan: $19,239.98 BCBS — Blue Choice Preferred PPO: $28,558.33 BCBS — Medicare Managed Care Plan: $19,430.48 BCBS — PPO: $34,312.47 Caterpillar — All Commercial Plans: $38,584.75 Cigna — All Commercial Plans: $41,333.65 Humana — Medicare Managed Care Plan: $19,049.49 Meridian — Medicare Managed Care Plan: $19,049.49 Molina Healthcare — Medicare Managed Care Plan: $19,049.49
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Uterine And Adnexa Procedures For Non-Malignancy Without Cc/Mcc	Not listed in the file	Not listed in the file	$9,681.19 – $21,006.29
Uterus and ovary surgery (not for cancer), without complications: 10 of 18 insurance plan rates Aetna — All Commercial Plans: $14,112.96 Aetna — Medicare Managed Care Plan: $9,778 BCBS — Blue Choice Preferred PPO: $14,513.71 BCBS — Medicare Managed Care Plan: $9,874.81 BCBS — PPO: $17,438.04 Caterpillar — All Commercial Plans: $19,609.26 Cigna — All Commercial Plans: $21,006.29 Humana — Medicare Managed Care Plan: $9,681.19 Meridian — Medicare Managed Care Plan: $9,681.19 Molina Healthcare — Medicare Managed Care Plan: $9,681.19

Source: St Mary Medical Center’s standard charges file (osf-p-001.sitecorecontenthub.cloud, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 31, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	3333 North Seminary, Galesburg, IL 61401
County	Knox County
State	Illinois
Phone	(309) 344‑3161
Emergency services	Yes
Ownership	Voluntary non-profit - Church
Medicare overall rating	2 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	140064
Name in Medicare records	ST MARY MEDICAL CENTER
Profile level	Medicare data + hospital website
Name on the hospital’s website	OSF HealthCare St. Mary Medical Center
Official website	osfhealthcare.org
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

OSF HealthCare St. Mary Medical Center - About — osfhealthcare.org
OSF St. Mary Medical Center Awards & Certifications | OSF HealthCare — osfhealthcare.org
OSF St. Mary Medical Center Programs & Services | OSF HealthCare — osfhealthcare.org
OSF St. Mary Medical Center Emergency Care | OSF HealthCare — osfhealthcare.org
Family Medicine Residency | OSF St. Mary Medical Center | OSF HealthCare — osfhealthcare.org
OSF St. Mary Medical Center Patients & Visitors | OSF HealthCare — osfhealthcare.org
OSF St. Mary Medical Center Visiting a Patient | OSF HealthCare — osfhealthcare.org
OSF St. Mary Medical Center Maps & Directions | OSF HealthCare — osfhealthcare.org

St Mary Medical Center

Summary

Profile from official sources

At a glance