Does University of Illinois Hospital and Clinics have an emergency room?

Yes. Medicare (CMS) data lists emergency services at University of Illinois Hospital and Clinics. In a medical emergency, call 911.

Where is University of Illinois Hospital and Clinics?

1740 West Taylor St Suite 1400, Chicago, IL 60612, in Cook County, Illinois.

What is the phone number of University of Illinois Hospital and Clinics?

(312) 996-3900, as listed by Medicare (CMS).

What is the Medicare star rating of University of Illinois Hospital and Clinics?

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

University of Illinois Hospital and Clinics

Quick answers

Does University of Illinois Hospital and Clinics have an emergency room?: Yes. Medicare (CMS) data lists emergency services at University of Illinois Hospital and Clinics. In a medical emergency, call 911.
Where is University of Illinois Hospital and Clinics?: 1740 West Taylor St Suite 1400, Chicago, IL 60612, in Cook County, Illinois.
What is the phone number of University of Illinois Hospital and Clinics?: (312) 996-3900, as listed by Medicare (CMS).
What is the Medicare star rating of University of Illinois Hospital and Clinics?: 4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4]

Cardiology
Surgery
Obstetrics (Labor & Delivery)
Neonatal intensive care (NICU)
Pediatrics (Children's Hospital)
Epilepsy monitoring
Gastroenterology/Liver
Medical oncology
Psychiatry
Radiology
Anesthesiology
Pathology

Treatments^[4]

Inpatient dialysis

Procedures^[4][5]

Cardiac catheterization
Bone marrow/stem cell transplant
Cardiac stress test
CT scan
Echocardiogram
Electrocardiogram
Electrophysiology study
Endoscopy
Fluoroscopy
Interventional radiology
Nuclear medicine
Pulmonary function testing
Ultrasound imaging
Vascular ultrasound
X-ray

Programs and centers^[4]

Sickle Cell Center
Labor and delivery
Neonatal intensive care unit
Pediatric intensive care unit
Medical intensive care unit
Neuro intensive care unit
Transplant ICU
Epilepsy monitoring unit
Bone marrow and stem cell transplant unit
Short stay unit
Clinical decision unit
Inpatient dialysis
Adult psychiatry
Adolescent psychiatry

Emergency care (hospital website)^[4]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Visiting	All visitors must check in at the front desk or concierge^[4]
Parking	Wood Street Parking Structure, reached by bridge to the hospital^[4]
Patient portal	MyChart

Recognition^[4]

Fully accredited by The Joint Commission

Doctors and clinicians (1,023)

1,023 doctors and other clinicians list University of Illinois Hospital and Clinics 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 (1,023)

Aakash Bavishi, MDCardiovascular Disease (Cardiology)
Aarohi H. Munshi, MDFamily Practice
Abayomi E. Akintorin, MDAnesthesiology
Abenet Michael, MDOphthalmology
Abid A. Haseeb, MDOphthalmology
Abigail BorisPhysician Assistant
Abiola F. Ibraheem, MDHematology/Oncology
Adam E. Mikolajczyk, MDGastroenterology
Adam J. Rodos, MDEmergency Medicine
Adam Kosloff, MDInternal Medicine
Adam P. Phillips, DPMPodiatry
Adhir Shroff, MDCardiovascular Disease (Cardiology)
Agnieszka Pietrzak, DOAnesthesiology
Ahmad Aref, MDOphthalmology
Ahmad Daher, MDNeurology
Ahmad Mousa, MDDiagnostic Radiology
Aida A. Chicon, NPNurse Practitioner
Aiman Ghufran, MDGastroenterology
Akanksha SrivastavaDentist
Al-Awwab M. Dabaliz, MDAnesthesiology
Alaina Becker, CNACertified Registered Nurse Anesthetist (CRNA)
Alan Jarman, MDInternal Medicine
Alana Biggers, MDInternal Medicine
Aleena AickarethNurse Practitioner

And 999 more: the button below opens the full list.

Other emergency rooms nearby

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

Jesse Brown VA Medical Center - VA Chicago Healthcare System0.3 mi · Chicago, IL · Federal/VA Acute Care Hospital
John H Stroger Jr Hospital0.4 mi · Chicago, IL · Acute Care Hospital
Rush University Medical Center1.2 mi · Chicago, IL · Acute Care Hospital
Mt Sinai Hospital Medical Center1.4 mi · Chicago, IL · Acute Care Hospital
Saint Anthony Hospital1.7 mi · Chicago, IL · Acute Care Hospital

Other hospitals nearby

Rush Specialty Hospital, LLC0.9 mi · Chicago, IL · Long-Term Acute Care Hospital
Schwab Rehabilitation Hospital1.4 mi · Chicago, 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

California Terrace2.3 mi · Chicago, IL · 1 of 5 stars
Warren Barr South Loop2.4 mi · Chicago, IL · 1 of 5 stars
Little Village NRSG & RHB Ctr2.7 mi · Chicago, IL · 1 of 5 stars

All nursing homes in the state →

Hospice providers

Vitas Healthcare Corporation of Illinois1.5 mi · Chicago, IL · 2 of 5 stars
Unity Hospice of Chicagoland, LLC2.9 mi · Chicago, IL · 3 of 5 stars
Willow Branch Hospice, LLC7.2 mi · Chicago, IL

All hospice providers in the state →

Home health agencies

Chicago Home Healthcare, S C0.9 mi · Chicago, IL
Chitown Home Health1.2 mi · Chicago, IL
Heroes Home Health2.3 mi · Chicago, IL

All home health agencies in the state →

Dialysis facilities

Circle Medical Management0.9 mi · Chicago, IL · 1 of 5 stars
DaVita Loop Renal Center0.9 mi · Chicago, IL · 2 of 5 stars
FMC - Aberdeen0.9 mi · Chicago, IL · 2 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Rush Surgicenter Inc1.2 mi · Chicago, IL
Grand Avenue Surgical Center, Ltd2.4 mi · Chicago, IL
Gold Coast Surgicenter, LLC2.8 mi · Chicago, IL

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

University of Illinois Mile Square Health Center - IMD0.2 mi · Chicago, IL · Community health center
Jose Clemente Orozco Academy0.8 mi · Chicago, IL · Community health center
ACCESS Pilsen Family Health Center1.0 mi · Chicago, IL · Community health center

Clinics and urgent care

Midwest Express Care 2 Inc1.5 mi · Chicago, IL · Urgent care center
Midwest Express Care 2, Inc1.7 mi · Chicago, IL · Urgent care center
Medin Medical Services PLLC2.2 mi · Chicago, IL · Urgent care center

Pharmacies

Board of Trustees of the University of Illinois0.9 mi · Chicago, IL · Clinic pharmacy
Health Delivery Management L L C0.9 mi · Chicago, IL · Clinic pharmacy
Health Delivery Management, LLC0.9 mi · Chicago, 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 University of Illinois Hospital and Clinics 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	3 of 5 stars
Doctors communicated well	3 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	2 of 5 stars
Quiet at night	3 of 5 stars
Rated the hospital 9 or 10 out of 10	64%National average: 72%
Would definitely recommend the hospital	65%National average: 71%
Nurses “always” communicated well	77%National average: 80%
Doctors “always” communicated well	78%National average: 80%
Staff “always” explained medicines before giving them	57%National average: 62%
Were given information about recovery at home	85%National average: 86%
Room and bathroom “always” clean	64%National average: 74%
Area around the room “always” quiet at night	52%National average: 60%
Completed surveys	931Response rate: 9%

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)	0.622No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.379Better than the national benchmark
Surgical site infections after colon surgery	0.535No different from the national benchmark
Surgical site infections after abdominal hysterectomy	1.428No different from the national benchmark
MRSA bloodstream infections	0.151Better than the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.273Better 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	11.6%
Deaths within 30 days: heart failure patients	10.1%
Deaths within 30 days: pneumonia patients	11.3%
Deaths within 30 days: COPD patients	8.2%
Deaths within 30 days: stroke patients	9.4%
Deaths within 30 days: coronary bypass surgery (CABG)	Too few cases to report
Serious complications (patient safety indicator PSI-90)	1.13No different from the national rate
Complications after hip or knee replacement	4.5%

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	14.6%
Readmitted within 30 days: heart failure	21.5%
Readmitted within 30 days: pneumonia	17.6%
Readmitted within 30 days: COPD	19.7%
Readmitted within 30 days: coronary bypass surgery	12.2%
Readmitted within 30 days: hip or knee replacement	7.4%

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)	298 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)	57%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 Chicago Best hospitals in Chicago

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 86 common services exactly as University of Illinois Hospital and Clinics 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 →

$ 1 amount is marked with “!”: it is 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. It is shown exactly as listed; ask the hospital before relying on it.

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Doctor (professional) fee In the file: HC Office Visit New Level 3	$485	$145.50	$55.95 – $170.80
New patient office visit (about 30–44 minutes): 10 of 85 insurance plan rates Aetna — Choice POS & Health Network Option: $120.90 Aetna — Medicare HMO, PPO, & NAP: $85.39 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $120.90 Aetna — Workers Comp: $120.90 Aetna Better Health — Medicaid: $55.95 AXA/HAA Preferred Partners — PPO: $291 BCBS — Access Community Health Network: $91.95 BCBS — Advocate Health Systems IPA: $108.45 BCBS — Blue Advantage HMO: $128.09 BCBS — Blue Choice City of Chicago: $93.90
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Doctor (professional) fee In the file: HC Office Visit New Level 3	$485	$145.50	$40.48 – $106.74
New patient office visit (about 30–44 minutes): 10 of 65 insurance plan rates Aetna — Choice POS & Health Network Option: $120.90 Aetna — Medicare HMO, PPO, & NAP: $85.39 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $120.90 Aetna — Workers Comp: $120.90 Aetna Better Health — Medicaid: $40.48 BCBS — Access Community Health Network: $91.95 BCBS — Advocate Health Systems IPA: $92.18 BCBS — Blue Advantage HMO: $93.93 BCBS — Blue Choice City of Chicago: $93.90 BCBS — Blue Choice Opt PPO: $93.90
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: HC Office Visit New Level 3	$485	$145.50	$55.95 – $144.80
New patient office visit (about 30–44 minutes): 10 of 65 insurance plan rates Aetna — Choice POS & Health Network Option: $161.71 Aetna — Medicare HMO, PPO, & NAP: $85.39 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $161.71 Aetna — Workers Comp: $161.71 Aetna Better Health — Medicaid: $55.95 BCBS — Access Community Health Network: $124.73 BCBS — Advocate Health Systems IPA: $147.12 BCBS — Blue Advantage HMO: $93.93 BCBS — Blue Choice City of Chicago: $93.90 BCBS — Blue Choice Opt PPO: $93.90
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Doctor (professional) fee In the file: HC Office Visit New Level 4	$788	$236.40	$90.81 – $252.65
New patient office visit (about 45–59 minutes): 10 of 85 insurance plan rates Aetna — Choice POS & Health Network Option: $196.29 Aetna — Medicare HMO, PPO, & NAP: $138.41 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $196.29 Aetna — Workers Comp: $196.29 Aetna Better Health — Medicaid: $90.81 AXA/HAA Preferred Partners — PPO: $472.80 BCBS — Access Community Health Network: $149.04 BCBS — Advocate Health Systems IPA: $175.78 BCBS — Blue Advantage HMO: $207.62 BCBS — Blue Choice City of Chicago: $152.20
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Office Visit New, Level 4	$483	$144.90	$83 – $410.55
New patient office visit (about 45–59 minutes): 10 of 59 insurance plan rates Aetna — Choice POS & Health Network Option: $230.39 Aetna — HMO & POS: $230.39 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $230.39 Aetna — Workers Comp: $256.96 AXA/HAA Preferred Partners — PPO: $289.80 BCBS — Access Community Health Network: $197.06 BCBS — Advocate Health Systems IPA: $197.06 BCBS — Blue Advantage HMO: $197.06 BCBS — Blue Choice City of Chicago: $198.51 BCBS — Blue Choice Opt PPO: $210.59
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Doctor (professional) fee In the file: HC Office Visit New Level 4	$788	$236.40	$117.65 – $173.01
New patient office visit (about 45–59 minutes): 10 of 59 insurance plan rates Aetna — Choice POS & Health Network Option: $196.29 Aetna — Medicare HMO, PPO, & NAP: $138.41 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $196.29 Aetna — Workers Comp: $196.29 BCBS — Access Community Health Network: $149.04 BCBS — Advocate Health Systems IPA: $175.78 BCBS — Blue Advantage HMO: $207.62 BCBS — Blue Choice City of Chicago: $152.20 BCBS — Blue Choice Opt PPO: $152.20 BCBS — PPO: $149.04
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Doctor (professional) fee In the file: HC Office Visit New Level 5	$1,069	$320.70	$123.49 – $311.65
New patient office visit (about 60–74 minutes): 10 of 85 insurance plan rates Aetna — Choice POS & Health Network Option: $266.50 Aetna — Medicare HMO, PPO, & NAP: $188.81 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $266.50 Aetna — Workers Comp: $266.50 Aetna Better Health — Medicaid: $123.49 AXA/HAA Preferred Partners — PPO: $641.40 BCBS — Access Community Health Network: $203.31 BCBS — Advocate Health Systems IPA: $239.79 BCBS — Blue Advantage HMO: $283.22 BCBS — Blue Choice City of Chicago: $207.63
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Office Visit New, Level 5	$517	$155.10	$83 – $439.45
New patient office visit (about 60–74 minutes): 10 of 59 insurance plan rates Aetna — Choice POS & Health Network Option: $246.61 Aetna — HMO & POS: $246.61 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $246.61 Aetna — Workers Comp: $275.04 AXA/HAA Preferred Partners — PPO: $310.20 BCBS — Access Community Health Network: $210.94 BCBS — Advocate Health Systems IPA: $210.94 BCBS — Blue Advantage HMO: $210.94 BCBS — Blue Choice City of Chicago: $212.49 BCBS — Blue Choice Opt PPO: $225.41
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Doctor (professional) fee In the file: HC Office Visit New Level 5	$1,069	$320.70	$188.81 – $245.45
New patient office visit (about 60–74 minutes): 10 of 59 insurance plan rates Aetna — Choice POS & Health Network Option: $266.50 Aetna — Medicare HMO, PPO, & NAP: $188.81 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $266.50 Aetna — Workers Comp: $266.50 BCBS — Access Community Health Network: $203.31 BCBS — Advocate Health Systems IPA: $239.79 BCBS — Blue Advantage HMO: $283.22 BCBS — Blue Choice City of Chicago: $207.63 BCBS — Blue Choice Opt PPO: $207.63 BCBS — PPO: $203.31
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Doctor (professional) fee In the file: HC Office Visit Est Level 3	$387	$116.10	$44.67 – $109.44
Established patient office visit (about 20–29 minutes): 10 of 85 insurance plan rates Aetna — Choice POS & Health Network Option: $96.60 Aetna — Medicare HMO, PPO, & NAP: $67.73 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $96.60 Aetna — Workers Comp: $96.60 Aetna Better Health — Medicaid: $44.67 AXA/HAA Preferred Partners — PPO: $232.20 BCBS — Access Community Health Network: $72.93 BCBS — Advocate Health Systems IPA: $86.02 BCBS — Blue Advantage HMO: $101.60 BCBS — Blue Choice City of Chicago: $74.44
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Doctor (professional) fee In the file: HC Office Visit Est Level 3	$387	$116.10	$44.67 – $84.66
Established patient office visit (about 20–29 minutes): 10 of 65 insurance plan rates Aetna — Choice POS & Health Network Option: $96.60 Aetna — Medicare HMO, PPO, & NAP: $67.73 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $96.60 Aetna — Workers Comp: $96.60 Aetna Better Health — Medicaid: $44.67 BCBS — Access Community Health Network: $72.93 BCBS — Advocate Health Systems IPA: $86.02 BCBS — Blue Advantage HMO: $74.50 BCBS — Blue Choice City of Chicago: $74.44 BCBS — Blue Choice Opt PPO: $74.44
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: HC Office Visit Est Level 3	$387	$116.10	$27.58 – $116.93
Established patient office visit (about 20–29 minutes): 10 of 65 insurance plan rates Aetna — Choice POS & Health Network Option: $96.60 Aetna — Medicare HMO, PPO, & NAP: $93.54 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $96.60 Aetna — Workers Comp: $130.61 Aetna Better Health — Medicaid: $27.58 BCBS — Access Community Health Network: $100.73 BCBS — Advocate Health Systems IPA: $86.02 BCBS — Blue Advantage HMO: $140.31 BCBS — Blue Choice City of Chicago: $74.44 BCBS — Blue Choice Opt PPO: $74.44
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Doctor (professional) fee In the file: HC Office Visit Est Level 4	$571	$171.30	$65.79 – $161.56
Established patient office visit (about 30–39 minutes): 10 of 85 insurance plan rates Aetna — Choice POS & Health Network Option: $142.37 Aetna — Medicare HMO, PPO, & NAP: $99.80 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $142.37 Aetna — Workers Comp: $142.37 Aetna Better Health — Medicaid: $65.79 AXA/HAA Preferred Partners — PPO: $342.60 BCBS — Access Community Health Network: $107.46 BCBS — Advocate Health Systems IPA: $126.75 BCBS — Blue Advantage HMO: $149.70 BCBS — Blue Choice City of Chicago: $93.10
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Office Visit Est, Level 4	$466	$139.80	$83 – $396.10
Established patient office visit (about 30–39 minutes): 10 of 59 insurance plan rates Aetna — Choice POS & Health Network Option: $222.28 Aetna — HMO & POS: $222.28 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $222.28 Aetna — Workers Comp: $247.91 AXA/HAA Preferred Partners — PPO: $279.60 BCBS — Access Community Health Network: $190.13 BCBS — Advocate Health Systems IPA: $190.13 BCBS — Blue Advantage HMO: $190.13 BCBS — Blue Choice City of Chicago: $191.53 BCBS — Blue Choice Opt PPO: $203.18
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Doctor (professional) fee In the file: HC Office Visit Est Level 4	$571	$171.30	$99.80 – $129.74
Established patient office visit (about 30–39 minutes): 10 of 59 insurance plan rates Aetna — Choice POS & Health Network Option: $142.37 Aetna — Medicare HMO, PPO, & NAP: $99.80 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $142.37 Aetna — Workers Comp: $142.37 BCBS — Access Community Health Network: $107.46 BCBS — Advocate Health Systems IPA: $126.75 BCBS — Blue Advantage HMO: $149.70 BCBS — Blue Choice City of Chicago: $109.53 BCBS — Blue Choice Opt PPO: $109.53 BCBS — PPO: $107.46
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES	$468	$140.40	$51.30 – $327.60
Office consultation with a specialist (moderate): 10 of 60 insurance plan rates Aetna — Choice POS & Health Network Option: $148.22 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $148.22 Aetna — Workers Comp: $148.22 Aetna Better Health — Medicaid: $51.30 AXA/HAA Preferred Partners — PPO: $280.80 BCBS — Advocate Health Systems IPA: $257.40 BCBS — Blue Advantage HMO: $187.20 BCBS Community — Medicaid: $51.30 Campus Care — All Products: $234 Cigna — All Products: $143.37
Office consultation with a specialist (moderate) CPT 99243 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES	$468	$140.40	$86 – $374.40
Office consultation with a specialist (moderate): 10 of 13 insurance plan rates Aetna — Choice POS & Health Network Option: $148.22 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $148.22 Aetna — Workers Comp: $148.22 Campus Care — All Products: $234 Cigna — All Products: $149 Coventry — Work Comp CFD & CPD: $86.68 Franciscan Hammond Clinic LLC — All Products: $135 Physician Care Network INC — All Products: $137.11 Prime Health Services — PPO: $374.40 St Anthony Health Network — All Products: $131.84
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES	$468	$140.40	$109.90 – $397.80
Office consultation with a specialist (moderate): 10 of 12 insurance plan rates Aetna — Choice POS & Health Network Option: $187.93 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $187.93 Aetna — Workers Comp: $187.93 Cigna — All Products: $183.21 Coventry — Work Comp CFD & CPD: $109.90 Franciscan Hammond Clinic LLC — All Products: $172.90 Physician Care Network INC — All Products: $175.60 Prime Health Services — PPO: $397.80 St Anthony Health Network — All Products: $168.85 United — Choice EPO: $185.97
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES	$736	$220.80	$71.40 – $736
Office consultation with a specialist (moderate to high): 10 of 60 insurance plan rates Aetna — Choice POS & Health Network Option: $238.94 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $238.94 Aetna — Workers Comp: $238.94 Aetna Better Health — Medicaid: $71.40 AXA/HAA Preferred Partners — PPO: $441.60 BCBS — Advocate Health Systems IPA: $404.80 BCBS — Blue Advantage HMO: $294.40 BCBS Community — Medicaid: $71.40 Campus Care — All Products: $368 Cigna — All Products: $217.99
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES	$736	$220.80	$139.73 – $368
Office consultation with a specialist (moderate to high): 10 of 12 insurance plan rates Aetna — Choice POS & Health Network Option: $238.94 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $238.94 Aetna — Workers Comp: $238.94 Campus Care — All Products: $368 Cigna — All Products: $217.99 Coventry — Work Comp CFD & CPD: $139.73 Franciscan Hammond Clinic LLC — All Products: $211.58 Physician Care Network INC — All Products: $214.89 St Anthony Health Network — All Products: $206.63 United — Choice EPO: $235.33
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES	$736	$220.80	$165.12 – $282.36
Office consultation with a specialist (moderate to high): 10 of 11 insurance plan rates Aetna — Choice POS & Health Network Option: $282.36 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $282.36 Aetna — Workers Comp: $282.36 Cigna — All Products: $261.55 Coventry — Work Comp CFD & CPD: $165.12 Franciscan Hammond Clinic LLC — All Products: $253.47 Physician Care Network INC — All Products: $257.43 St Anthony Health Network — All Products: $247.53 United — Choice EPO: $278.69 United — Core EPO & Navigate EPO: $238.88
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Doctor (professional) fee In the file: HC Prev Med New Pt-18-39 Yrs	$371	$111.30	$66.40 – $259.70
Preventive checkup, new patient, age 18–39: 10 of 66 insurance plan rates Aetna — Choice POS & Health Network Option: $150.07 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $150.07 Aetna — Workers Comp: $150.07 Aetna Better Health — Medicaid: $66.40 AXA/HAA Preferred Partners — PPO: $222.60 BCBS — Access Community Health Network: $120.65 BCBS — Advocate Health Systems IPA: $204.05 BCBS — Blue Advantage HMO: $148.40 BCBS — Blue Choice City of Chicago: $104.63 BCBS — Blue Choice Opt PPO: $104.63
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Prev Med New Pt-18-39 Yrs	$435	$130.50	$83 – $369.75
Preventive checkup, new patient, age 18–39: 10 of 59 insurance plan rates Aetna — Choice POS & Health Network Option: $207.50 Aetna — HMO & POS: $207.50 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $207.50 Aetna — Workers Comp: $231.42 AXA/HAA Preferred Partners — PPO: $261 BCBS — Access Community Health Network: $177.48 BCBS — Advocate Health Systems IPA: $177.48 BCBS — Blue Advantage HMO: $177.48 BCBS — Blue Choice City of Chicago: $178.79 BCBS — Blue Choice Opt PPO: $189.66
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient (hospital stay) · Doctor (professional) fee In the file: HC Prev Med New Pt-18-39 Yrs	$371	$111.30	$88.94
Preventive checkup, new patient, age 18–39: 10 of 19 insurance plan rates Aetna — Choice POS & Health Network Option: $150.07 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $150.07 Aetna — Workers Comp: $150.07 BCBS — Access Community Health Network: $120.65 BCBS — Blue Choice City of Chicago: $88.94 BCBS — Blue Choice Opt PPO: $88.94 BCBS — PPO: $120.65 BCBS — Unite Here Health: $88.94 Campus Care — All Products: $149.18 Caterpillar — EPO: $120.65
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Doctor (professional) fee In the file: HC Prev Med New Pt-40-64 Yrs	$449	$134.70	$66.40 – $314.30
Preventive checkup, new patient, age 40–64: 10 of 66 insurance plan rates Aetna — Choice POS & Health Network Option: $182.97 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $182.97 Aetna — Workers Comp: $182.97 Aetna Better Health — Medicaid: $66.40 AXA/HAA Preferred Partners — PPO: $269.40 BCBS — Access Community Health Network: $145.78 BCBS — Advocate Health Systems IPA: $246.95 BCBS — Blue Advantage HMO: $179.60 BCBS — Blue Choice City of Chicago: $126.41 BCBS — Blue Choice Opt PPO: $126.41
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Prev Med New Pt-40-64 Yrs	$336	$100.80	$83 – $285.60
Preventive checkup, new patient, age 40–64: 10 of 59 insurance plan rates Aetna — Choice POS & Health Network Option: $160.27 Aetna — HMO & POS: $160.27 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $160.27 Aetna — Workers Comp: $178.75 AXA/HAA Preferred Partners — PPO: $201.60 BCBS — Access Community Health Network: $137.09 BCBS — Advocate Health Systems IPA: $137.09 BCBS — Blue Advantage HMO: $137.09 BCBS — Blue Choice City of Chicago: $138.10 BCBS — Blue Choice Opt PPO: $146.50
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient (hospital stay) · Doctor (professional) fee In the file: HC Prev Med New Pt-40-64 Yrs	$449	$134.70	$126.41
Preventive checkup, new patient, age 40–64: 10 of 19 insurance plan rates Aetna — Choice POS & Health Network Option: $182.97 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $182.97 Aetna — Workers Comp: $182.97 BCBS — Access Community Health Network: $145.78 BCBS — Blue Choice City of Chicago: $126.41 BCBS — Blue Choice Opt PPO: $126.41 BCBS — PPO: $145.78 BCBS — Unite Here Health: $126.41 Campus Care — All Products: $180.60 Caterpillar — EPO: $145.78
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Doctor (professional) fee In the file: HC Emergency Department Level 3 Visit Moderate Severity	$423	$126.90	$49.16 – $225.92
Emergency room visit (moderate): 10 of 84 insurance plan rates Aetna — Choice POS & Health Network Option: $105.25 Aetna — Medicare HMO, PPO, & NAP: $74.14 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $105.25 Aetna — Workers Comp: $105.25 Aetna Better Health — Medicaid: $49.16 AXA/HAA Preferred Partners — PPO: $253.80 BCBS — Access Community Health Network: $89.28 BCBS — Advocate Health Systems IPA: $94.16 BCBS — Blue Advantage HMO: $111.21 BCBS — Blue Choice City of Chicago: $84.81
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Emergency Department Level 3 Visit Moderate Severity	$1,097	$329.10	$383.95 – $2,385
Emergency room visit (moderate): 10 of 55 insurance plan rates Aetna — Workers Comp: $583.60 AXA/HAA Preferred Partners — PPO: $658.20 BCBS — Access Community Health Network: $447.58 BCBS — Advocate Health Systems IPA: $447.58 BCBS — Blue Advantage HMO: $447.58 BCBS — Blue Choice City of Chicago: $450.87 BCBS — Blue Choice Opt PPO: $478.29 BCBS — Blue Precision HMO: $434.41 BCBS — HMO of Illinois: $447.58 BCBS — PPO: $483.78
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Emergency Department Level 3 Visit Moderate Severity	$1,097	$329.10	$282.57 – $303.07
Emergency room visit (moderate): 10 of 15 insurance plan rates Aetna — Medicare HMO, PPO, & NAP: $288.64 Aetna Better Health — MMAI Dual Eligibility: $288.64 BCBS Community — MMAI Dual Eligibility: $282.57 Clear Springs Health — Medicare: $288.64 Coventry — Medicare Advantage: $288.64 Longevity Health Plan — Medicare Advantage: $288.64 Medicare — Part A and B & Medicare Railroad: $288.64 Meridian — Medicare Advantage: $303.07 Meridian — MMAI Dual Eligibility: $288.64 Molina — MMAI Dual Eligibility: $288.64
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Doctor (professional) fee In the file: HC Emergency Department Level 4 Visit High/Urgent Severity	$717	$215.10	$83.69 – $334.85
Emergency room visit (moderately high): 10 of 84 insurance plan rates Aetna — Choice POS & Health Network Option: $178.68 Aetna — Medicare HMO, PPO, & NAP: $127.04 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $178.68 Aetna — Workers Comp: $178.68 Aetna Better Health — Medicaid: $83.69 AXA/HAA Preferred Partners — PPO: $430.20 BCBS — Access Community Health Network: $172.02 BCBS — Advocate Health Systems IPA: $161.34 BCBS — Blue Advantage HMO: $190.56 BCBS — Blue Choice City of Chicago: $145.32
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Emergency Department Level 4 Visit High/Urgent Severity	$2,128	$638.40	$744.80 – $2,385
Emergency room visit (moderately high): 10 of 55 insurance plan rates Aetna — Workers Comp: $1,132.10 AXA/HAA Preferred Partners — PPO: $1,276.80 BCBS — Access Community Health Network: $868.22 BCBS — Advocate Health Systems IPA: $868.22 BCBS — Blue Advantage HMO: $868.22 BCBS — Blue Choice City of Chicago: $874.61 BCBS — Blue Choice Opt PPO: $927.81 BCBS — Blue Precision HMO: $842.69 BCBS — HMO of Illinois: $868.22 BCBS — PPO: $938.45
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Doctor (professional) fee In the file: HC Emergency Department Level 4 Visit High/Urgent Severity	$717	$215.10	$107.98 – $140.38
Emergency room visit (moderately high): 10 of 46 insurance plan rates Aetna — Choice POS & Health Network Option: $151.88 Aetna — Medicare HMO, PPO, & NAP: $107.98 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $151.88 BCBS — Advocate Health Systems IPA: $137.14 BCBS — Blue Choice City of Chicago: $123.52 BCBS — Blue Choice Opt PPO: $123.52 BCBS — PPO: $146.22 BCBS — Unite Here Health: $123.52 Campus Care — All Products: $161.98 Caterpillar — EPO: $146.22
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Doctor (professional) fee In the file: HC Emergency Department Level 5 Visit High Severity&Threat Func	$1,052	$315.60	$121.28 – $482.87
Emergency room visit (high): 10 of 84 insurance plan rates Aetna — Choice POS & Health Network Option: $262.09 Aetna — Medicare HMO, PPO, & NAP: $184.50 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $262.09 Aetna — Workers Comp: $262.09 Aetna Better Health — Medicaid: $121.28 AXA/HAA Preferred Partners — PPO: $631.20 BCBS — Access Community Health Network: $249.83 BCBS — Advocate Health Systems IPA: $234.32 BCBS — Blue Advantage HMO: $276.75 BCBS — Blue Choice City of Chicago: $211.04
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Emergency Department Level 5 Visit High Severity&Threat Func	$3,455	$1,036.50	$1,209.25 – $2,936.75
Emergency room visit (high): 10 of 55 insurance plan rates Aetna — Workers Comp: $1,838.06 AXA/HAA Preferred Partners — PPO: $2,073 BCBS — Access Community Health Network: $1,409.64 BCBS — Advocate Health Systems IPA: $1,409.64 BCBS — Blue Advantage HMO: $1,409.64 BCBS — Blue Choice City of Chicago: $1,420.01 BCBS — Blue Choice Opt PPO: $1,506.38 BCBS — Blue Precision HMO: $1,368.18 BCBS — HMO of Illinois: $1,409.64 BCBS — PPO: $1,523.66
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Emergency Department Level 5 Visit High Severity&Threat Func	$3,455	$1,036.50	$625.69 – $671.06
Emergency room visit (high): 10 of 15 insurance plan rates Aetna — Medicare HMO, PPO, & NAP: $639.11 Aetna Better Health — MMAI Dual Eligibility: $639.11 BCBS Community — MMAI Dual Eligibility: $625.69 Clear Springs Health — Medicare: $639.11 Coventry — Medicare Advantage: $639.11 Longevity Health Plan — Medicare Advantage: $639.11 Medicare — Part A and B & Medicare Railroad: $639.11 Meridian — Medicare Advantage: $671.06 Meridian — MMAI Dual Eligibility: $639.11 Molina — MMAI Dual Eligibility: $639.11

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Doctor (professional) fee In the file: HC Basic Metabolic Profile	$45	$13.50	$3.50 – $45
Basic metabolic panel (blood test): 10 of 66 insurance plan rates Aetna — Choice POS & Health Network Option: $6.94 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $6.94 Aetna — Workers Comp: $6.94 Aetna Better Health — Medicaid: $8.28 AXA/HAA Preferred Partners — PPO: $27 BCBS — Access Community Health Network: $3.50 BCBS — Advocate Health Systems IPA: $24.75 BCBS — Blue Advantage HMO: $18 BCBS — Blue Choice City of Chicago: $3.50 BCBS — Blue Choice Opt PPO: $3.50
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Basic Metabolic Profile	$249	$74.70	$17.03 – $211.65
Basic metabolic panel (blood test): 10 of 62 insurance plan rates Aetna — Workers Comp: $132.47 Aetna Better Health — Medicaid: $17.03 AXA/HAA Preferred Partners — PPO: $149.40 BCBS — Access Community Health Network: $101.59 BCBS — Advocate Health Systems IPA: $101.59 BCBS — Blue Advantage HMO: $101.59 BCBS — Blue Choice City of Chicago: $102.34 BCBS — Blue Choice Opt PPO: $108.56 BCBS — Blue Precision HMO: $98.60 BCBS — HMO of Illinois: $101.59
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Basic Metabolic Profile	$249	$74.70	$8.28 – $17.03
Basic metabolic panel (blood test): 10 of 24 insurance plan rates Aetna — Choice POS & Health Network Option: $11.21 Aetna — HMO & POS: $11.21 Aetna — Medicare HMO, PPO, & NAP: $8.46 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $11.21 Aetna Better Health — Medicaid: $17.03 Aetna Better Health — MMAI Dual Eligibility: $8.46 BCBS Community — Medicaid: $17.03 BCBS Community — MMAI Dual Eligibility: $8.28 Clear Springs Health — Medicare: $8.46 County Care Health Plan — Medicaid: $17.03
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Doctor (professional) fee In the file: HC Comprehensive Metbolic Profile	$57	$17.10	$3.50 – $57
Comprehensive metabolic panel (blood test): 10 of 66 insurance plan rates Aetna — Choice POS & Health Network Option: $8.66 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $8.66 Aetna — Workers Comp: $8.66 Aetna Better Health — Medicaid: $10.36 AXA/HAA Preferred Partners — PPO: $34.20 BCBS — Access Community Health Network: $3.50 BCBS — Advocate Health Systems IPA: $31.35 BCBS — Blue Advantage HMO: $22.80 BCBS — Blue Choice City of Chicago: $3.50 BCBS — Blue Choice Opt PPO: $3.50
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Comprehensive Metbolic Profile	$552	$165.60	$17.03 – $469.20
Comprehensive metabolic panel (blood test): 10 of 62 insurance plan rates Aetna — Workers Comp: $293.66 Aetna Better Health — Medicaid: $17.03 AXA/HAA Preferred Partners — PPO: $331.20 BCBS — Access Community Health Network: $225.22 BCBS — Advocate Health Systems IPA: $225.22 BCBS — Blue Advantage HMO: $225.22 BCBS — Blue Choice City of Chicago: $226.87 BCBS — Blue Choice Opt PPO: $240.67 BCBS — Blue Precision HMO: $218.59 BCBS — HMO of Illinois: $225.22
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Comprehensive Metbolic Profile	$552	$165.60	$10.34 – $17.03
Comprehensive metabolic panel (blood test): 10 of 24 insurance plan rates Aetna — Choice POS & Health Network Option: $13.99 Aetna — HMO & POS: $13.99 Aetna — Medicare HMO, PPO, & NAP: $10.56 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $13.99 Aetna Better Health — Medicaid: $17.03 Aetna Better Health — MMAI Dual Eligibility: $10.56 BCBS Community — Medicaid: $17.03 BCBS Community — MMAI Dual Eligibility: $10.34 Clear Springs Health — Medicare: $10.56 County Care Health Plan — Medicaid: $17.03
Obstetric blood test panel CPT 80055 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OBSTETRIC PANEL	$256	$76.80	$3.50 – $256
Obstetric blood test panel: 10 of 66 insurance plan rates Aetna — Choice POS & Health Network Option: $39.20 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $39.20 Aetna — Workers Comp: $39.20 Aetna Better Health — Medicaid: $33.47 AXA/HAA Preferred Partners — PPO: $153.60 BCBS — Access Community Health Network: $3.50 BCBS — Advocate Health Systems IPA: $140.80 BCBS — Blue Advantage HMO: $102.40 BCBS — Blue Choice City of Chicago: $3.50 BCBS — Blue Choice Opt PPO: $3.50
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR OBSTETRIC PANEL	$256	$76.80	$3.50 – $128
Obstetric blood test panel: rates for 10 insurance plans BCBS — Access Community Health Network: $3.50 BCBS — Blue Choice City of Chicago: $3.50 BCBS — Blue Choice Opt PPO: $3.50 BCBS — PPO: $3.50 BCBS — Unite Here Health: $3.50 Campus Care — All Products: $128 Caterpillar — EPO: $3.50 Humboldt Park Health Partners — All Products: $3.50 Physicians Health Association of IL — All Products: $3.50 Resurrection Phys Provider Group — All Products: $3.50
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR OBSTETRIC PANEL	$256	$76.80	$32.99 – $36.81
Obstetric blood test panel: rates for 9 insurance plans BCBS — Access Community Health Network: $36.81 BCBS — Blue Choice City of Chicago: $32.99 BCBS — Blue Choice Opt PPO: $32.99 BCBS — PPO: $36.81 BCBS — Unite Here Health: $32.99 Caterpillar — EPO: $36.81 Humboldt Park Health Partners — All Products: $36.81 Physicians Health Association of IL — All Products: $36.81 Resurrection Phys Provider Group — All Products: $36.81
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Doctor (professional) fee In the file: HC Lipid Panel Lipid Panel Extended	$72	$21.60	$3.50 – $72
Cholesterol panel (lipid panel): 10 of 66 insurance plan rates Aetna — Choice POS & Health Network Option: $10.98 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $10.98 Aetna — Workers Comp: $10.98 Aetna Better Health — Medicaid: $9.37 AXA/HAA Preferred Partners — PPO: $43.20 BCBS — Access Community Health Network: $3.50 BCBS — Advocate Health Systems IPA: $39.60 BCBS — Blue Advantage HMO: $28.80 BCBS — Blue Choice City of Chicago: $3.50 BCBS — Blue Choice Opt PPO: $3.50
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Lipid Panel, Lipid Panel, Extended	$74	$22.20	$17.03 – $76
Cholesterol panel (lipid panel): 10 of 62 insurance plan rates Aetna — Workers Comp: $39.37 Aetna Better Health — Medicaid: $17.03 AXA/HAA Preferred Partners — PPO: $44.40 BCBS — Access Community Health Network: $30.19 BCBS — Advocate Health Systems IPA: $30.19 BCBS — Blue Advantage HMO: $30.19 BCBS — Blue Choice City of Chicago: $30.41 BCBS — Blue Choice Opt PPO: $32.26 BCBS — Blue Precision HMO: $29.30 BCBS — HMO of Illinois: $30.19
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Lipid Profile	$437	$131.10	$17.03 – $371.45
Cholesterol panel (lipid panel): 10 of 62 insurance plan rates Aetna — Workers Comp: $232.48 Aetna Better Health — Medicaid: $17.03 AXA/HAA Preferred Partners — PPO: $262.20 BCBS — Access Community Health Network: $178.30 BCBS — Advocate Health Systems IPA: $178.30 BCBS — Blue Advantage HMO: $178.30 BCBS — Blue Choice City of Chicago: $179.61 BCBS — Blue Choice Opt PPO: $190.53 BCBS — Blue Precision HMO: $173.05 BCBS — HMO of Illinois: $178.30
Kidney function panel CPT 80069 · Inpatient or outpatient · Doctor (professional) fee In the file: HC Renal Function Panel	$46	$13.80	$3.50 – $46
Kidney function panel: 10 of 66 insurance plan rates Aetna — Choice POS & Health Network Option: $7.12 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $7.12 Aetna — Workers Comp: $7.12 Aetna Better Health — Medicaid: $8.52 AXA/HAA Preferred Partners — PPO: $27.60 BCBS — Access Community Health Network: $3.50 BCBS — Advocate Health Systems IPA: $25.30 BCBS — Blue Advantage HMO: $18.40 BCBS — Blue Choice City of Chicago: $3.50 BCBS — Blue Choice Opt PPO: $3.50
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Renal Function Panel	$417	$125.10	$17.03 – $354.45
Kidney function panel: 10 of 62 insurance plan rates Aetna — Workers Comp: $221.84 Aetna Better Health — Medicaid: $17.03 AXA/HAA Preferred Partners — PPO: $250.20 BCBS — Access Community Health Network: $170.14 BCBS — Advocate Health Systems IPA: $170.14 BCBS — Blue Advantage HMO: $170.14 BCBS — Blue Choice City of Chicago: $171.39 BCBS — Blue Choice Opt PPO: $181.81 BCBS — Blue Precision HMO: $165.13 BCBS — HMO of Illinois: $170.14
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Renal Function Panel	$417	$125.10	$8.50 – $17.03
Kidney function panel: 10 of 24 insurance plan rates Aetna — Choice POS & Health Network Option: $11.50 Aetna — HMO & POS: $11.50 Aetna — Medicare HMO, PPO, & NAP: $8.68 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $11.50 Aetna Better Health — Medicaid: $17.03 Aetna Better Health — MMAI Dual Eligibility: $8.68 BCBS Community — Medicaid: $17.03 BCBS Community — MMAI Dual Eligibility: $8.50 Clear Springs Health — Medicare: $8.68 County Care Health Plan — Medicaid: $17.03
Liver function panel CPT 80076 · Inpatient or outpatient · Doctor (professional) fee In the file: HC Hepatic Function Panel - Bundled Charge	$44	$13.20	$3.50 – $44
Liver function panel: 10 of 66 insurance plan rates Aetna — Choice POS & Health Network Option: $6.70 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $6.70 Aetna — Workers Comp: $6.70 Aetna Better Health — Medicaid: $7.98 AXA/HAA Preferred Partners — PPO: $26.40 BCBS — Access Community Health Network: $3.50 BCBS — Advocate Health Systems IPA: $24.20 BCBS — Blue Advantage HMO: $17.60 BCBS — Blue Choice City of Chicago: $3.50 BCBS — Blue Choice Opt PPO: $3.50
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Hepatic Function Panel - Bundled Charge	$282	$84.60	$17.03 – $239.70
Liver function panel: 10 of 62 insurance plan rates Aetna — Workers Comp: $150.02 Aetna Better Health — Medicaid: $17.03 AXA/HAA Preferred Partners — PPO: $169.20 BCBS — Access Community Health Network: $115.06 BCBS — Advocate Health Systems IPA: $115.06 BCBS — Blue Advantage HMO: $115.06 BCBS — Blue Choice City of Chicago: $115.90 BCBS — Blue Choice Opt PPO: $122.95 BCBS — Blue Precision HMO: $111.67 BCBS — HMO of Illinois: $115.06
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Hepatic Function Panel - Bundled Charge	$282	$84.60	$8 – $17.03
Liver function panel: 10 of 24 insurance plan rates Aetna — Choice POS & Health Network Option: $10.83 Aetna — HMO & POS: $10.83 Aetna — Medicare HMO, PPO, & NAP: $8.17 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $10.83 Aetna Better Health — Medicaid: $17.03 Aetna Better Health — MMAI Dual Eligibility: $8.17 BCBS Community — Medicaid: $17.03 BCBS Community — MMAI Dual Eligibility: $8 Clear Springs Health — Medicare: $8.17 County Care Health Plan — Medicaid: $17.03
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Doctor (professional) fee In the file: HC Urine Dipstick Auto W/Microscopy	$17	$5.10	$2.86 – $17
Urine test (automated, with microscope): 10 of 66 insurance plan rates Aetna — Choice POS & Health Network Option: $2.60 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $2.60 Aetna — Workers Comp: $2.60 Aetna Better Health — Medicaid: $2.86 AXA/HAA Preferred Partners — PPO: $10.20 BCBS — Access Community Health Network: $3.50 BCBS — Advocate Health Systems IPA: $9.35 BCBS — Blue Advantage HMO: $6.80 BCBS — Blue Choice City of Chicago: $3.50 BCBS — Blue Choice Opt PPO: $3.50
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Urine Dipstick Auto W/Microscopy	$169	$50.70	$5.68 – $143.65
Urine test (automated, with microscope): 10 of 62 insurance plan rates Aetna — Workers Comp: $89.91 Aetna Better Health — Medicaid: $5.68 AXA/HAA Preferred Partners — PPO: $101.40 BCBS — Access Community Health Network: $68.95 BCBS — Advocate Health Systems IPA: $68.95 BCBS — Blue Advantage HMO: $68.95 BCBS — Blue Choice City of Chicago: $69.46 BCBS — Blue Choice Opt PPO: $73.68 BCBS — Blue Precision HMO: $66.92 BCBS — HMO of Illinois: $68.95
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Urine Dipstick Auto W/Microscopy	$169	$50.70	$3.10 – $5.68
Urine test (automated, with microscope): 10 of 24 insurance plan rates Aetna — Choice POS & Health Network Option: $4.21 Aetna — HMO & POS: $4.21 Aetna — Medicare HMO, PPO, & NAP: $3.17 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $4.21 Aetna Better Health — Medicaid: $5.68 Aetna Better Health — MMAI Dual Eligibility: $3.17 BCBS Community — Medicaid: $5.68 BCBS Community — MMAI Dual Eligibility: $3.10 Clear Springs Health — Medicare: $3.17 County Care Health Plan — Medicaid: $5.68
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Doctor (professional) fee In the file: HC Urine Dipstick W/O Microscopy	$18	$5.40	$2.09 – $18
Urine test (manual, without microscope): 10 of 66 insurance plan rates Aetna — Choice POS & Health Network Option: $2.85 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $2.85 Aetna — Workers Comp: $2.85 Aetna Better Health — Medicaid: $2.60 AXA/HAA Preferred Partners — PPO: $10.80 BCBS — Access Community Health Network: $3.50 BCBS — Advocate Health Systems IPA: $9.90 BCBS — Blue Advantage HMO: $7.20 BCBS — Blue Choice City of Chicago: $3.50 BCBS — Blue Choice Opt PPO: $3.50
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Urine Dipstick W/O Microscopy	$68	$20.40	$5.68 – $76
Urine test (manual, without microscope): 10 of 62 insurance plan rates Aetna — Workers Comp: $36.18 Aetna Better Health — Medicaid: $5.68 AXA/HAA Preferred Partners — PPO: $40.80 BCBS — Access Community Health Network: $27.74 BCBS — Advocate Health Systems IPA: $27.74 BCBS — Blue Advantage HMO: $27.74 BCBS — Blue Choice City of Chicago: $27.95 BCBS — Blue Choice Opt PPO: $29.65 BCBS — Blue Precision HMO: $26.93 BCBS — HMO of Illinois: $27.74
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Urine Dipstick W/O Microscopy	$68	$20.40	$3.41 – $5.68
Urine test (manual, without microscope): 10 of 24 insurance plan rates Aetna — Choice POS & Health Network Option: $3.74 Aetna — HMO & POS: $3.74 Aetna — Medicare HMO, PPO, & NAP: $3.48 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $3.74 Aetna Better Health — Medicaid: $5.68 Aetna Better Health — MMAI Dual Eligibility: $3.48 BCBS Community — Medicaid: $5.68 BCBS Community — MMAI Dual Eligibility: $3.41 Clear Springs Health — Medicare: $3.48 County Care Health Plan — Medicaid: $5.68
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Doctor (professional) fee In the file: HC Urinalysis Auto W/O Microscopy	$12	$3.60	$2.18 – $12
Urine test (automated, without microscope): 10 of 66 insurance plan rates Aetna — Choice POS & Health Network Option: $1.85 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $1.85 Aetna — Workers Comp: $1.85 Aetna Better Health — Medicaid: $2.18 AXA/HAA Preferred Partners — PPO: $7.20 BCBS — Access Community Health Network: $3.50 BCBS — Advocate Health Systems IPA: $6.60 BCBS — Blue Advantage HMO: $4.80 BCBS — Blue Choice City of Chicago: $3.50 BCBS — Blue Choice Opt PPO: $3.50
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Urinalysis Auto W/O Microscopy	$123	$36.90	$5.68 – $104.55
Urine test (automated, without microscope): 10 of 62 insurance plan rates Aetna — Workers Comp: $65.44 Aetna Better Health — Medicaid: $5.68 AXA/HAA Preferred Partners — PPO: $73.80 BCBS — Access Community Health Network: $50.18 BCBS — Advocate Health Systems IPA: $50.18 BCBS — Blue Advantage HMO: $50.18 BCBS — Blue Choice City of Chicago: $50.55 BCBS — Blue Choice Opt PPO: $53.63 BCBS — Blue Precision HMO: $48.71 BCBS — HMO of Illinois: $50.18
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Urinalysis-Chem Scr	$107	$32.10	$5.68 – $90.95
Urine test (automated, without microscope): 10 of 62 insurance plan rates Aetna — Workers Comp: $56.92 Aetna Better Health — Medicaid: $5.68 AXA/HAA Preferred Partners — PPO: $64.20 BCBS — Access Community Health Network: $43.66 BCBS — Advocate Health Systems IPA: $43.66 BCBS — Blue Advantage HMO: $43.66 BCBS — Blue Choice City of Chicago: $43.98 BCBS — Blue Choice Opt PPO: $46.65 BCBS — Blue Precision HMO: $42.37 BCBS — HMO of Illinois: $43.66
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Doctor (professional) fee In the file: HC Prostate Spec Ag Total	$98	$29.40	$3.50 – $98
PSA (prostate specific antigen) blood test: 10 of 66 insurance plan rates Aetna — Choice POS & Health Network Option: $15.08 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $15.08 Aetna — Workers Comp: $15.08 Aetna Better Health — Medicaid: $13.20 AXA/HAA Preferred Partners — PPO: $58.80 BCBS — Access Community Health Network: $3.50 BCBS — Advocate Health Systems IPA: $53.90 BCBS — Blue Advantage HMO: $39.20 BCBS — Blue Choice City of Chicago: $3.50 BCBS — Blue Choice Opt PPO: $3.50
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Prostate Spec Ag, Total	$83	$24.90	$22.54 – $76
PSA (prostate specific antigen) blood test: 10 of 62 insurance plan rates Aetna — Workers Comp: $44.16 Aetna Better Health — Medicaid: $22.54 AXA/HAA Preferred Partners — PPO: $49.80 BCBS — Access Community Health Network: $33.86 BCBS — Advocate Health Systems IPA: $33.86 BCBS — Blue Advantage HMO: $33.86 BCBS — Blue Choice City of Chicago: $34.11 BCBS — Blue Choice Opt PPO: $36.19 BCBS — Blue Precision HMO: $32.87 BCBS — HMO of Illinois: $33.86
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Prostate Specific Ag Screen	$455	$136.50	$22.54 – $386.75
PSA (prostate specific antigen) blood test: 10 of 62 insurance plan rates Aetna — Workers Comp: $242.06 Aetna Better Health — Medicaid: $22.54 AXA/HAA Preferred Partners — PPO: $273 BCBS — Access Community Health Network: $185.64 BCBS — Advocate Health Systems IPA: $185.64 BCBS — Blue Advantage HMO: $185.64 BCBS — Blue Choice City of Chicago: $187.01 BCBS — Blue Choice Opt PPO: $198.38 BCBS — Blue Precision HMO: $180.18 BCBS — HMO of Illinois: $185.64
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Doctor (professional) fee In the file: HC Assay Thyroid Stim Hormone - Thyroid Stimulating Hormone	$90	$27	$3.50 – $90
Thyroid stimulating hormone (TSH) test: 10 of 66 insurance plan rates Aetna — Choice POS & Health Network Option: $13.78 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $13.78 Aetna — Workers Comp: $13.78 Aetna Better Health — Medicaid: $16.42 AXA/HAA Preferred Partners — PPO: $54 BCBS — Access Community Health Network: $3.50 BCBS — Advocate Health Systems IPA: $49.50 BCBS — Blue Advantage HMO: $36 BCBS — Blue Choice City of Chicago: $3.50 BCBS — Blue Choice Opt PPO: $3.50
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Assay Thyroid Stim Hormone - Thyroid Stimulating Hormone	$455	$136.50	$24.88 – $386.75
Thyroid stimulating hormone (TSH) test: 10 of 62 insurance plan rates Aetna — Workers Comp: $242.06 Aetna Better Health — Medicaid: $24.88 AXA/HAA Preferred Partners — PPO: $273 BCBS — Access Community Health Network: $185.64 BCBS — Advocate Health Systems IPA: $185.64 BCBS — Blue Advantage HMO: $185.64 BCBS — Blue Choice City of Chicago: $187.01 BCBS — Blue Choice Opt PPO: $198.38 BCBS — Blue Precision HMO: $180.18 BCBS — HMO of Illinois: $185.64
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Assay Thyroid Stim Hormone - Thyroid Stimulating Hormone	$455	$136.50	$16.45 – $24.88
Thyroid stimulating hormone (TSH) test: 10 of 24 insurance plan rates Aetna — Choice POS & Health Network Option: $22.27 Aetna — HMO & POS: $22.27 Aetna — Medicare HMO, PPO, & NAP: $16.80 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $22.27 Aetna Better Health — Medicaid: $24.88 Aetna Better Health — MMAI Dual Eligibility: $16.80 BCBS Community — Medicaid: $24.88 BCBS Community — MMAI Dual Eligibility: $16.45 Clear Springs Health — Medicare: $16.80 County Care Health Plan — Medicaid: $24.88
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Doctor (professional) fee In the file: HC Complete Cbc & Auto Diff Wbc	$42	$12.60	$3.50 – $42
Complete blood count (CBC) with differential: 10 of 66 insurance plan rates Aetna — Choice POS & Health Network Option: $6.37 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $6.37 Aetna — Workers Comp: $6.37 Aetna Better Health — Medicaid: $5.74 AXA/HAA Preferred Partners — PPO: $25.20 BCBS — Access Community Health Network: $3.50 BCBS — Advocate Health Systems IPA: $23.10 BCBS — Blue Advantage HMO: $16.80 BCBS — Blue Choice City of Chicago: $3.50 BCBS — Blue Choice Opt PPO: $3.50
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Complete Cbc & Auto Diff Wbc	$291	$87.30	$11.19 – $247.35
Complete blood count (CBC) with differential: 10 of 62 insurance plan rates Aetna — Workers Comp: $154.81 Aetna Better Health — Medicaid: $11.19 AXA/HAA Preferred Partners — PPO: $174.60 BCBS — Access Community Health Network: $118.73 BCBS — Advocate Health Systems IPA: $118.73 BCBS — Blue Advantage HMO: $118.73 BCBS — Blue Choice City of Chicago: $119.60 BCBS — Blue Choice Opt PPO: $126.88 BCBS — Blue Precision HMO: $115.24 BCBS — HMO of Illinois: $118.73
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Complete Cbc & Auto Diff Wbc	$291	$87.30	$7.61 – $11.19
Complete blood count (CBC) with differential: 10 of 24 insurance plan rates Aetna — Choice POS & Health Network Option: $10.30 Aetna — HMO & POS: $10.30 Aetna — Medicare HMO, PPO, & NAP: $7.77 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $10.30 Aetna Better Health — Medicaid: $11.19 Aetna Better Health — MMAI Dual Eligibility: $7.77 BCBS Community — Medicaid: $11.19 BCBS Community — MMAI Dual Eligibility: $7.61 Clear Springs Health — Medicare: $7.77 County Care Health Plan — Medicaid: $11.19
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Doctor (professional) fee In the file: HC Blood Count	$34	$10.20	$3.50 – $34
Complete blood count (CBC), automated: 10 of 66 insurance plan rates Aetna — Choice POS & Health Network Option: $5.31 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $5.31 Aetna — Workers Comp: $5.31 Aetna Better Health — Medicaid: $5.74 AXA/HAA Preferred Partners — PPO: $20.40 BCBS — Access Community Health Network: $3.50 BCBS — Advocate Health Systems IPA: $18.70 BCBS — Blue Advantage HMO: $13.60 BCBS — Blue Choice City of Chicago: $3.50 BCBS — Blue Choice Opt PPO: $3.50
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Blood Count	$208	$62.40	$11.19 – $176.80
Complete blood count (CBC), automated: 10 of 62 insurance plan rates Aetna — Workers Comp: $110.66 Aetna Better Health — Medicaid: $11.19 AXA/HAA Preferred Partners — PPO: $124.80 BCBS — Access Community Health Network: $84.86 BCBS — Advocate Health Systems IPA: $84.86 BCBS — Blue Advantage HMO: $84.86 BCBS — Blue Choice City of Chicago: $85.49 BCBS — Blue Choice Opt PPO: $90.69 BCBS — Blue Precision HMO: $82.37 BCBS — HMO of Illinois: $84.86
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Nucleated Cell Count/Viability	$195	$58.50	$11.19 – $165.75
Complete blood count (CBC), automated: 10 of 62 insurance plan rates Aetna — Workers Comp: $103.74 Aetna Better Health — Medicaid: $11.19 AXA/HAA Preferred Partners — PPO: $117 BCBS — Access Community Health Network: $79.56 BCBS — Advocate Health Systems IPA: $79.56 BCBS — Blue Advantage HMO: $79.56 BCBS — Blue Choice City of Chicago: $80.15 BCBS — Blue Choice Opt PPO: $85.02 BCBS — Blue Precision HMO: $77.22 BCBS — HMO of Illinois: $79.56
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Doctor (professional) fee In the file: HC Prothrombin Time	$22	$6.60	$3.22 – $22
Blood clotting time test (prothrombin time, PT): 10 of 66 insurance plan rates Aetna — Choice POS & Health Network Option: $3.52 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $3.52 Aetna — Workers Comp: $3.52 Aetna Better Health — Medicaid: $3.82 AXA/HAA Preferred Partners — PPO: $13.20 BCBS — Access Community Health Network: $3.50 BCBS — Advocate Health Systems IPA: $12.10 BCBS — Blue Advantage HMO: $8.80 BCBS — Blue Choice City of Chicago: $3.50 BCBS — Blue Choice Opt PPO: $3.50
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Prothrombin Time	$122	$36.60	$8.35 – $103.70
Blood clotting time test (prothrombin time, PT): 10 of 62 insurance plan rates Aetna — Workers Comp: $64.90 Aetna Better Health — Medicaid: $8.35 AXA/HAA Preferred Partners — PPO: $73.20 BCBS — Access Community Health Network: $49.78 BCBS — Advocate Health Systems IPA: $49.78 BCBS — Blue Advantage HMO: $49.78 BCBS — Blue Choice City of Chicago: $50.14 BCBS — Blue Choice Opt PPO: $53.19 BCBS — Blue Precision HMO: $48.31 BCBS — HMO of Illinois: $49.78
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Prothrombin Time	$122	$36.60	$4.20 – $8.35
Blood clotting time test (prothrombin time, PT): 10 of 24 insurance plan rates Aetna — Choice POS & Health Network Option: $5.21 Aetna — HMO & POS: $5.21 Aetna — Medicare HMO, PPO, & NAP: $4.29 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $5.21 Aetna Better Health — Medicaid: $8.35 Aetna Better Health — MMAI Dual Eligibility: $4.29 BCBS Community — Medicaid: $8.35 BCBS Community — MMAI Dual Eligibility: $4.20 Clear Springs Health — Medicare: $4.29 County Care Health Plan — Medicaid: $8.35
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Doctor (professional) fee In the file: HC Ptt	$32	$9.60	$3.06 – $32
Blood clotting test (partial thromboplastin time, PTT): 10 of 66 insurance plan rates Aetna — Choice POS & Health Network Option: $4.93 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $4.93 Aetna — Workers Comp: $4.93 Aetna Better Health — Medicaid: $5.88 AXA/HAA Preferred Partners — PPO: $19.20 BCBS — Access Community Health Network: $3.50 BCBS — Advocate Health Systems IPA: $17.60 BCBS — Blue Advantage HMO: $12.80 BCBS — Blue Choice City of Chicago: $3.50 BCBS — Blue Choice Opt PPO: $3.50
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Ptt	$148	$44.40	$8.35 – $125.80
Blood clotting test (partial thromboplastin time, PTT): 10 of 62 insurance plan rates Aetna — Workers Comp: $78.74 Aetna Better Health — Medicaid: $8.35 AXA/HAA Preferred Partners — PPO: $88.80 BCBS — Access Community Health Network: $60.38 BCBS — Advocate Health Systems IPA: $60.38 BCBS — Blue Advantage HMO: $60.38 BCBS — Blue Choice City of Chicago: $60.83 BCBS — Blue Choice Opt PPO: $64.53 BCBS — Blue Precision HMO: $58.61 BCBS — HMO of Illinois: $60.38
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Ptt	$148	$44.40	$5.88 – $8.35
Blood clotting test (partial thromboplastin time, PTT): 10 of 24 insurance plan rates Aetna — Choice POS & Health Network Option: $7.96 Aetna — HMO & POS: $7.96 Aetna — Medicare HMO, PPO, & NAP: $6.01 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $7.96 Aetna Better Health — Medicaid: $8.35 Aetna Better Health — MMAI Dual Eligibility: $6.01 BCBS Community — Medicaid: $8.35 BCBS Community — MMAI Dual Eligibility: $5.88 Clear Springs Health — Medicare: $6.01 County Care Health Plan — Medicaid: $8.35

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 · Inpatient or outpatient · Doctor (professional) fee In the file: HC CT ScanHead/BrainW/O Contrast Matl - CT Head WO Contrast	$652	$195.60	$100.57 – $652
CT scan of the head or brain, without contrast: 10 of 82 insurance plan rates Aetna — Choice POS & Health Network Option: $208.23 Aetna — Medicare HMO, PPO, & NAP: $108.71 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $208.23 Aetna — Workers Comp: $208.23 Aetna Better Health — Medicaid: $100.57 AXA/HAA Preferred Partners — PPO: $391.20 BCBS — Access Community Health Network: $210.59 BCBS — Advocate Health Systems IPA: $138.06 BCBS — Blue Advantage HMO: $163.07 BCBS — Blue Choice City of Chicago: $136.05
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT Scan,Head/Brain,W/O Contrast Matl - CT Head WO Contrast	$3,422	$1,026.60	$706.90 – $2,908.70
CT scan of the head or brain, without contrast: 10 of 61 insurance plan rates Aetna — Workers Comp: $1,820.50 Aetna Better Health — Medicaid: $706.90 AXA/HAA Preferred Partners — PPO: $2,053.20 BCBS — Access Community Health Network: $1,396.18 BCBS — Advocate Health Systems IPA: $1,396.18 BCBS — Blue Advantage HMO: $1,396.18 BCBS — Blue Choice City of Chicago: $1,406.44 BCBS — Blue Choice Opt PPO: $1,491.99 BCBS — Blue Precision HMO: $1,355.11 BCBS — HMO of Illinois: $1,396.18
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT Scan,Head/Brain,W/O Contrast Matl - CT Head WO Contrast	$3,422	$1,026.60	$108.52 – $706.90
CT scan of the head or brain, without contrast: 10 of 25 insurance plan rates Aetna — Choice POS & Health Network Option: $178.67 Aetna — HMO & POS: $178.67 Aetna — Medicare HMO, PPO, & NAP: $110.85 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $178.67 Aetna Better Health — Medicaid: $706.90 Aetna Better Health — MMAI Dual Eligibility: $110.85 BCBS Community — Medicaid: $706.90 BCBS Community — MMAI Dual Eligibility: $108.52 Cigna — All Products: $649 Clear Springs Health — Medicare: $110.85
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Doctor (professional) fee In the file: HC MRI Brain Combo - MRI Brain W WO Contrast	$2,031	$609.30	$260.22 – $2,031
MRI of the brain, before and after contrast: 10 of 82 insurance plan rates Aetna — Choice POS & Health Network Option: $649.13 Aetna — Medicare HMO, PPO, & NAP: $325.27 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $649.13 Aetna — Workers Comp: $649.13 Aetna Better Health — Medicaid: $296.60 AXA/HAA Preferred Partners — PPO: $1,218.60 BCBS — Access Community Health Network: $853.85 BCBS — Advocate Health Systems IPA: $413.09 BCBS — Blue Advantage HMO: $487.91 BCBS — Blue Choice City of Chicago: $407.06
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Brain Combo - MRI Brain W WO Contrast	$8,148	$2,444.40	$946.71 – $6,925.80
MRI of the brain, before and after contrast: 10 of 61 insurance plan rates Aetna — Workers Comp: $4,334.74 Aetna Better Health — Medicaid: $946.71 AXA/HAA Preferred Partners — PPO: $4,888.80 BCBS — Access Community Health Network: $3,324.38 BCBS — Advocate Health Systems IPA: $3,324.38 BCBS — Blue Advantage HMO: $3,324.38 BCBS — Blue Choice City of Chicago: $3,348.83 BCBS — Blue Choice Opt PPO: $3,552.53 BCBS — Blue Precision HMO: $3,226.61 BCBS — HMO of Illinois: $3,324.38
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI Brain Combo - MRI Brain W WO Contrast	$8,148	$2,444.40	$364.46 – $1,109
MRI of the brain, before and after contrast: 10 of 25 insurance plan rates Aetna — Choice POS & Health Network Option: $581.93 Aetna — HMO & POS: $581.93 Aetna — Medicare HMO, PPO, & NAP: $372.28 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $581.93 Aetna Better Health — Medicaid: $946.71 Aetna Better Health — MMAI Dual Eligibility: $372.28 BCBS Community — Medicaid: $946.71 BCBS Community — MMAI Dual Eligibility: $364.46 Cigna — All Products: $1,109 Clear Springs Health — Medicare: $372.28
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Doctor (professional) fee In the file: HC Radiologic Exam Chest 2 Views - Xr Chest 2 Views	$193	$57.90	$21.77 – $117.78
Chest X-ray, 2 views: 10 of 82 insurance plan rates Aetna — Choice POS & Health Network Option: $54.82 Aetna — Medicare HMO, PPO, & NAP: $33.95 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $54.82 Aetna — Workers Comp: $54.82 Aetna Better Health — Medicaid: $21.77 AXA/HAA Preferred Partners — PPO: $115.80 BCBS — Access Community Health Network: $49.43 BCBS — Advocate Health Systems IPA: $43.12 BCBS — Blue Advantage HMO: $50.93 BCBS — Blue Choice City of Chicago: $42.49
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Radiologic Exam Chest 2 Views - Xr Chest 2 Views	$364	$109.20	$120.12 – $309.40
Chest X-ray, 2 views: 10 of 62 insurance plan rates Aetna — Workers Comp: $193.65 Aetna Better Health — Medicaid: $130.59 AXA/HAA Preferred Partners — PPO: $218.40 BCBS — Access Community Health Network: $148.51 BCBS — Advocate Health Systems IPA: $148.51 BCBS — Blue Advantage HMO: $148.51 BCBS — Blue Choice City of Chicago: $149.60 BCBS — Blue Choice Opt PPO: $158.70 BCBS — Blue Precision HMO: $144.14 BCBS — HMO of Illinois: $148.51
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Radiologic Exam Chest 2 Views - Xr Chest 2 Views	$364	$109.20	$42.82 – $130.59
Chest X-ray, 2 views: 10 of 24 insurance plan rates Aetna — Choice POS & Health Network Option: $42.82 Aetna — HMO & POS: $42.82 Aetna — Medicare HMO, PPO, & NAP: $91.79 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $42.82 Aetna Better Health — Medicaid: $130.59 Aetna Better Health — MMAI Dual Eligibility: $91.79 BCBS Community — Medicaid: $130.59 BCBS Community — MMAI Dual Eligibility: $89.86 Clear Springs Health — Medicare: $91.79 County Care Health Plan — Medicaid: $130.59
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Doctor (professional) fee In the file: HC X-Ray Lumbar Spine 4 Vw - Xr Lumbar Spine Complete 4+ Views	$290	$87	$37.90 – $190.80
X-ray of the lower spine, at least 4 views: 10 of 82 insurance plan rates Aetna — Choice POS & Health Network Option: $82.47 Aetna — Medicare HMO, PPO, & NAP: $52.13 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $82.47 Aetna — Workers Comp: $82.47 Aetna Better Health — Medicaid: $37.90 AXA/HAA Preferred Partners — PPO: $174 BCBS — Access Community Health Network: $100.98 BCBS — Advocate Health Systems IPA: $66.21 BCBS — Blue Advantage HMO: $78.20 BCBS — Blue Choice City of Chicago: $65.24
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC X-Ray Lumbar Spine 4 Vw - Xr Lumbar Spine Complete 4+ Views	$958	$287.40	$130.59 – $814.30
X-ray of the lower spine, at least 4 views: 10 of 62 insurance plan rates Aetna — Workers Comp: $509.66 Aetna Better Health — Medicaid: $130.59 AXA/HAA Preferred Partners — PPO: $574.80 BCBS — Access Community Health Network: $390.86 BCBS — Advocate Health Systems IPA: $390.86 BCBS — Blue Advantage HMO: $390.86 BCBS — Blue Choice City of Chicago: $393.74 BCBS — Blue Choice Opt PPO: $417.69 BCBS — Blue Precision HMO: $379.37 BCBS — HMO of Illinois: $390.86
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC X-Ray Lumbar Spine 4 Vw - Xr Lumbar Spine Complete 4+ Views	$958	$287.40	$68.67 – $130.59
X-ray of the lower spine, at least 4 views: 10 of 24 insurance plan rates Aetna — Choice POS & Health Network Option: $68.67 Aetna — HMO & POS: $68.67 Aetna — Medicare HMO, PPO, & NAP: $110.85 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $68.67 Aetna Better Health — Medicaid: $130.59 Aetna Better Health — MMAI Dual Eligibility: $110.85 BCBS Community — Medicaid: $130.59 BCBS Community — MMAI Dual Eligibility: $108.52 Clear Springs Health — Medicare: $110.85 County Care Health Plan — Medicaid: $130.59
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Doctor (professional) fee In the file: HC MRI Lumbar Spine - MRI Lumbar Spine WO Contrast	$1,208	$362.40	$155.78 – $1,208
MRI of the lower back (lumbar spine), without contrast: 10 of 82 insurance plan rates Aetna — Choice POS & Health Network Option: $386.14 Aetna — Medicare HMO, PPO, & NAP: $194.72 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $386.14 Aetna — Workers Comp: $386.14 Aetna Better Health — Medicaid: $181.99 AXA/HAA Preferred Partners — PPO: $724.80 BCBS — Access Community Health Network: $478.93 BCBS — Advocate Health Systems IPA: $247.29 BCBS — Blue Advantage HMO: $292.08 BCBS — Blue Choice City of Chicago: $243.68
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI, Lumbar Spine - MRI Lumbar Spine WO Contrast	$6,004	$1,801.20	$561.11 – $5,103.40
MRI of the lower back (lumbar spine), without contrast: 10 of 61 insurance plan rates Aetna — Workers Comp: $3,194.13 Aetna Better Health — Medicaid: $561.11 AXA/HAA Preferred Partners — PPO: $3,602.40 BCBS — Access Community Health Network: $2,449.63 BCBS — Advocate Health Systems IPA: $2,449.63 BCBS — Blue Advantage HMO: $2,449.63 BCBS — Blue Choice City of Chicago: $2,467.64 BCBS — Blue Choice Opt PPO: $2,617.74 BCBS — Blue Precision HMO: $2,377.58 BCBS — HMO of Illinois: $2,449.63
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 - MRI Lumbar Spine WO Contrast	$6,004	$1,801.20	$246.68 – $1,109
MRI of the lower back (lumbar spine), without contrast: 10 of 25 insurance plan rates Aetna — Choice POS & Health Network Option: $346.46 Aetna — HMO & POS: $346.46 Aetna — Medicare HMO, PPO, & NAP: $251.97 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $346.46 Aetna Better Health — Medicaid: $561.11 Aetna Better Health — MMAI Dual Eligibility: $251.97 BCBS Community — Medicaid: $561.11 BCBS Community — MMAI Dual Eligibility: $246.68 Cigna — All Products: $1,109 Clear Springs Health — Medicare: $251.97
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Doctor (professional) fee In the file: HC CT Scan of Pelvis Contrast - CT Pelvis W Contrast	$1,317	$395.10	$150.57 – $1,317
CT scan of the pelvis, with contrast: 10 of 82 insurance plan rates Aetna — Choice POS & Health Network Option: $421.16 Aetna — Medicare HMO, PPO, & NAP: $229.98 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $421.16 Aetna — Workers Comp: $421.16 Aetna Better Health — Medicaid: $150.57 AXA/HAA Preferred Partners — PPO: $790.20 BCBS — Access Community Health Network: $445.50 BCBS — Advocate Health Systems IPA: $292.07 BCBS — Blue Advantage HMO: $344.97 BCBS — Blue Choice City of Chicago: $287.80
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT Scan of Pelvis Contrast - CT Pelvis W Contrast	$4,342	$1,302.60	$706.90 – $3,690.70
CT scan of the pelvis, with contrast: 10 of 61 insurance plan rates Aetna — Workers Comp: $2,309.94 Aetna Better Health — Medicaid: $706.90 AXA/HAA Preferred Partners — PPO: $2,605.20 BCBS — Access Community Health Network: $1,771.54 BCBS — Advocate Health Systems IPA: $1,771.54 BCBS — Blue Advantage HMO: $1,771.54 BCBS — Blue Choice City of Chicago: $1,784.56 BCBS — Blue Choice Opt PPO: $1,893.11 BCBS — Blue Precision HMO: $1,719.43 BCBS — HMO of Illinois: $1,771.54
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT Scan of Pelvis Contrast - CT Pelvis W Contrast	$4,342	$1,302.60	$181.67 – $706.90
CT scan of the pelvis, with contrast: 10 of 25 insurance plan rates Aetna — Choice POS & Health Network Option: $347.04 Aetna — HMO & POS: $347.04 Aetna — Medicare HMO, PPO, & NAP: $185.57 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $347.04 Aetna Better Health — Medicaid: $706.90 Aetna Better Health — MMAI Dual Eligibility: $185.57 BCBS Community — Medicaid: $706.90 BCBS Community — MMAI Dual Eligibility: $181.67 Cigna — All Products: $649 Clear Springs Health — Medicare: $185.57
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Doctor (professional) fee In the file: HC MRI Jnt of Lwr Extre W/O Dye - Lt	$1,279	$383.70	$165.62 – $1,279
MRI of a leg joint (such as the knee), without contrast: 10 of 82 insurance plan rates Aetna — Choice POS & Health Network Option: $408.69 Aetna — Medicare HMO, PPO, & NAP: $207.03 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $408.69 Aetna — Workers Comp: $408.69 Aetna Better Health — Medicaid: $191.91 AXA/HAA Preferred Partners — PPO: $767.40 BCBS — Access Community Health Network: $509.21 BCBS — Advocate Health Systems IPA: $262.93 BCBS — Blue Advantage HMO: $310.55 BCBS — Blue Choice City of Chicago: $259.08
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Jnt of Lwr Extre W/O Dye - Lt	$5,939	$1,781.70	$561.11 – $5,048.15
MRI of a leg joint (such as the knee), without contrast: 10 of 61 insurance plan rates Aetna — Workers Comp: $3,159.55 Aetna Better Health — Medicaid: $561.11 AXA/HAA Preferred Partners — PPO: $3,563.40 BCBS — Access Community Health Network: $2,423.11 BCBS — Advocate Health Systems IPA: $2,423.11 BCBS — Blue Advantage HMO: $2,423.11 BCBS — Blue Choice City of Chicago: $2,440.93 BCBS — Blue Choice Opt PPO: $2,589.40 BCBS — Blue Precision HMO: $2,351.84 BCBS — HMO of Illinois: $2,423.11
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Jnt of Lwr Extre W/O Dye - Rt	$5,939	$1,781.70	$561.11 – $5,048.15
MRI of a leg joint (such as the knee), without contrast: 10 of 61 insurance plan rates Aetna — Workers Comp: $3,159.55 Aetna Better Health — Medicaid: $561.11 AXA/HAA Preferred Partners — PPO: $3,563.40 BCBS — Access Community Health Network: $2,423.11 BCBS — Advocate Health Systems IPA: $2,423.11 BCBS — Blue Advantage HMO: $2,423.11 BCBS — Blue Choice City of Chicago: $2,440.93 BCBS — Blue Choice Opt PPO: $2,589.40 BCBS — Blue Precision HMO: $2,351.84 BCBS — HMO of Illinois: $2,423.11
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Doctor (professional) fee In the file: HC CT Abd & Pelv W/Contrast - CT Abdomen Pelvis W Contrast	$1,900	$570	$200.10 – $1,023.28
CT scan of the abdomen and pelvis, with contrast: 10 of 82 insurance plan rates Aetna — Choice POS & Health Network Option: $607.32 Aetna — Medicare HMO, PPO, & NAP: $307.02 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $607.32 Aetna — Workers Comp: $607.32 Aetna Better Health — Medicaid: $200.10 AXA/HAA Preferred Partners — PPO: $1,140 BCBS — Access Community Health Network: $594.75 BCBS — Advocate Health Systems IPA: $389.92 BCBS — Blue Advantage HMO: $460.53 BCBS — Blue Choice City of Chicago: $384.22
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT Abd & Pelv W/Contrast - CT Abdomen Pelvis W Contrast	$8,834	$2,650.20	$706.90 – $7,508.90
CT scan of the abdomen and pelvis, with contrast: 10 of 61 insurance plan rates Aetna — Workers Comp: $4,699.69 Aetna Better Health — Medicaid: $706.90 AXA/HAA Preferred Partners — PPO: $5,300.40 BCBS — Access Community Health Network: $3,604.27 BCBS — Advocate Health Systems IPA: $3,604.27 BCBS — Blue Advantage HMO: $3,604.27 BCBS — Blue Choice City of Chicago: $3,630.77 BCBS — Blue Choice Opt PPO: $3,851.62 BCBS — Blue Precision HMO: $3,498.26 BCBS — HMO of Illinois: $3,604.27
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT Abd & Pelv W/Contrast - CT Abdomen Pelvis W Contrast	$8,834	$2,650.20	$364.46 – $706.90
CT scan of the abdomen and pelvis, with contrast: 10 of 25 insurance plan rates Aetna — Choice POS & Health Network Option: $478.70 Aetna — HMO & POS: $478.70 Aetna — Medicare HMO, PPO, & NAP: $372.28 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $478.70 Aetna Better Health — Medicaid: $706.90 Aetna Better Health — MMAI Dual Eligibility: $372.28 BCBS Community — Medicaid: $706.90 BCBS Community — MMAI Dual Eligibility: $364.46 Cigna — All Products: $649 Clear Springs Health — Medicare: $372.28
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Doctor (professional) fee In the file: HC US AbdomB-Scan &/or Real TimeComplete - US Abdomen Complete	$699	$209.70	$75.90 – $423.46
Ultrasound of the abdomen, complete: 10 of 82 insurance plan rates Aetna — Choice POS & Health Network Option: $198.70 Aetna — Medicare HMO, PPO, & NAP: $116 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $198.70 Aetna — Workers Comp: $198.70 Aetna Better Health — Medicaid: $75.90 AXA/HAA Preferred Partners — PPO: $419.40 BCBS — Access Community Health Network: $224.72 BCBS — Advocate Health Systems IPA: $147.32 BCBS — Blue Advantage HMO: $174 BCBS — Blue Choice City of Chicago: $145.17
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US, Abdom,B-Scan &/or Real Time,Complete - US Abdomen Complete	$1,700	$510	$345 – $1,445
Ultrasound of the abdomen, complete: 10 of 62 insurance plan rates Aetna — Workers Comp: $904.40 Aetna Better Health — Medicaid: $391.61 AXA/HAA Preferred Partners — PPO: $1,020 BCBS — Access Community Health Network: $693.60 BCBS — Advocate Health Systems IPA: $693.60 BCBS — Blue Advantage HMO: $693.60 BCBS — Blue Choice City of Chicago: $698.70 BCBS — Blue Choice Opt PPO: $741.20 BCBS — Blue Precision HMO: $673.20 BCBS — HMO of Illinois: $693.60
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US, Abdom,B-Scan &/or Real Time,Complete - US Abdomen Complete	$1,700	$510	$108.52 – $391.61
Ultrasound of the abdomen, complete: 10 of 24 insurance plan rates Aetna — Choice POS & Health Network Option: $172.54 Aetna — HMO & POS: $172.54 Aetna — Medicare HMO, PPO, & NAP: $110.85 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $172.54 Aetna Better Health — Medicaid: $391.61 Aetna Better Health — MMAI Dual Eligibility: $110.85 BCBS Community — Medicaid: $391.61 BCBS Community — MMAI Dual Eligibility: $108.52 Clear Springs Health — Medicare: $110.85 County Care Health Plan — Medicaid: $391.61
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Doctor (professional) fee In the file: HC Chg US OB >/= 14 Wks Sngl Fetus	$800	$240	$87.72 – $408.87
Pregnancy ultrasound (after the first trimester): 10 of 82 insurance plan rates Aetna — Choice POS & Health Network Option: $227.77 Aetna — Medicare HMO, PPO, & NAP: $134.44 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $227.77 Aetna — Workers Comp: $227.77 Aetna Better Health — Medicaid: $87.72 AXA/HAA Preferred Partners — PPO: $480 BCBS — Access Community Health Network: $236.41 BCBS — Advocate Health Systems IPA: $170.74 BCBS — Blue Advantage HMO: $201.66 BCBS — Blue Choice City of Chicago: $168.25
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Chg US, OB >/= 14 Wks, Sngl Fetus	$1,331	$399.30	$234.13 – $1,131.35
Pregnancy ultrasound (after the first trimester): 10 of 62 insurance plan rates Aetna — Workers Comp: $708.09 Aetna Better Health — Medicaid: $234.13 AXA/HAA Preferred Partners — PPO: $798.60 BCBS — Access Community Health Network: $543.05 BCBS — Advocate Health Systems IPA: $543.05 BCBS — Blue Advantage HMO: $543.05 BCBS — Blue Choice City of Chicago: $547.04 BCBS — Blue Choice Opt PPO: $580.32 BCBS — Blue Precision HMO: $527.08 BCBS — HMO of Illinois: $543.05
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Chg US, OB >/= 14 Wks, Sngl Fetus	$1,331	$399.30	$108.52 – $234.13
Pregnancy ultrasound (after the first trimester): 10 of 24 insurance plan rates Aetna — Choice POS & Health Network Option: $201.58 Aetna — HMO & POS: $201.58 Aetna — Medicare HMO, PPO, & NAP: $110.85 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $201.58 Aetna Better Health — Medicaid: $234.13 Aetna Better Health — MMAI Dual Eligibility: $110.85 BCBS Community — Medicaid: $234.13 BCBS Community — MMAI Dual Eligibility: $108.52 Clear Springs Health — Medicare: $110.85 County Care Health Plan — Medicaid: $234.13
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Doctor (professional) fee In the file: HC Transvaginal Ultrasound - Non OB	$713	$213.90	$76.76 – $363.35
Transvaginal ultrasound: 10 of 82 insurance plan rates Aetna — Choice POS & Health Network Option: $202.79 Aetna — Medicare HMO, PPO, & NAP: $118.06 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $202.79 Aetna — Workers Comp: $202.79 Aetna Better Health — Medicaid: $76.76 AXA/HAA Preferred Partners — PPO: $427.80 BCBS — Access Community Health Network: $177.64 BCBS — Advocate Health Systems IPA: $149.94 BCBS — Blue Advantage HMO: $177.09 BCBS — Blue Choice City of Chicago: $147.75
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Transvaginal, Ultrasound	$986	$295.80	$254.17 – $838.10
Transvaginal ultrasound: 10 of 62 insurance plan rates Aetna — Workers Comp: $524.55 Aetna Better Health — Medicaid: $254.17 AXA/HAA Preferred Partners — PPO: $591.60 BCBS — Access Community Health Network: $402.29 BCBS — Advocate Health Systems IPA: $402.29 BCBS — Blue Advantage HMO: $402.29 BCBS — Blue Choice City of Chicago: $405.25 BCBS — Blue Choice Opt PPO: $429.90 BCBS — Blue Precision HMO: $390.46 BCBS — HMO of Illinois: $402.29
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Transvaginal, Ultrasound - Non OB	$851	$255.30	$254.17 – $723.35
Transvaginal ultrasound: 10 of 62 insurance plan rates Aetna — Workers Comp: $452.73 Aetna Better Health — Medicaid: $254.17 AXA/HAA Preferred Partners — PPO: $510.60 BCBS — Access Community Health Network: $347.21 BCBS — Advocate Health Systems IPA: $347.21 BCBS — Blue Advantage HMO: $347.21 BCBS — Blue Choice City of Chicago: $349.76 BCBS — Blue Choice Opt PPO: $371.04 BCBS — Blue Precision HMO: $337 BCBS — HMO of Illinois: $347.21
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Doctor (professional) fee In the file: HC Dx Mammo Incl Cad Uni - Mammo Additional Views Left	$735	$220.50	$101.01 – $735
Diagnostic mammogram, one breast: 10 of 79 insurance plan rates Aetna — Choice POS & Health Network Option: $209.24 Aetna — Medicare HMO, PPO, & NAP: $126.26 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $209.24 Aetna — Workers Comp: $209.24 Aetna Better Health — Medicaid: $126.26 AXA/HAA Preferred Partners — PPO: $441 BCBS — Access Community Health Network: $189.98 BCBS — Advocate Health Systems IPA: $160.35 BCBS — Blue Advantage HMO: $189.39 BCBS — Blue Choice City of Chicago: $158.01
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Dx Mammo Incl Cad Uni - Mammo Additional Views Left	$969	$290.70	$111.05 – $823.65
Diagnostic mammogram, one breast: 10 of 62 insurance plan rates Aetna — Workers Comp: $515.51 Aetna Better Health — Medicaid: $111.05 AXA/HAA Preferred Partners — PPO: $581.40 BCBS — Access Community Health Network: $395.35 BCBS — Advocate Health Systems IPA: $395.35 BCBS — Blue Advantage HMO: $395.35 BCBS — Blue Choice City of Chicago: $398.26 BCBS — Blue Choice Opt PPO: $422.48 BCBS — Blue Precision HMO: $383.72 BCBS — HMO of Illinois: $395.35
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Dx Mammo Incl Cad Uni - Mammo Additional Views Right	$969	$290.70	$111.05 – $823.65
Diagnostic mammogram, one breast: 10 of 62 insurance plan rates Aetna — Workers Comp: $515.51 Aetna Better Health — Medicaid: $111.05 AXA/HAA Preferred Partners — PPO: $581.40 BCBS — Access Community Health Network: $395.35 BCBS — Advocate Health Systems IPA: $395.35 BCBS — Blue Advantage HMO: $395.35 BCBS — Blue Choice City of Chicago: $398.26 BCBS — Blue Choice Opt PPO: $422.48 BCBS — Blue Precision HMO: $383.72 BCBS — HMO of Illinois: $395.35
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Doctor (professional) fee In the file: HC Dx Mammo Incl Cad Bi - Mammo Breast Diagnostic Bilateral	$931	$279.30	$126.87 – $931
Diagnostic mammogram, both breasts: 10 of 79 insurance plan rates Aetna — Choice POS & Health Network Option: $264.78 Aetna — Medicare HMO, PPO, & NAP: $158.59 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $264.78 Aetna — Workers Comp: $264.78 Aetna Better Health — Medicaid: $158.59 AXA/HAA Preferred Partners — PPO: $558.60 BCBS — Access Community Health Network: $238.63 BCBS — Advocate Health Systems IPA: $201.41 BCBS — Blue Advantage HMO: $237.89 BCBS — Blue Choice City of Chicago: $198.47
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Dx Mammo Incl Cad Bi - Mammo Breast Diagnostic Bilateral	$1,243	$372.90	$111.05 – $1,056.55
Diagnostic mammogram, both breasts: 10 of 62 insurance plan rates Aetna — Workers Comp: $661.28 Aetna Better Health — Medicaid: $111.05 AXA/HAA Preferred Partners — PPO: $745.80 BCBS — Access Community Health Network: $507.14 BCBS — Advocate Health Systems IPA: $507.14 BCBS — Blue Advantage HMO: $507.14 BCBS — Blue Choice City of Chicago: $510.87 BCBS — Blue Choice Opt PPO: $541.95 BCBS — Blue Precision HMO: $492.23 BCBS — HMO of Illinois: $507.14
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Dx Mammo Incl Cad Bi - Mammo Breast Diagnostic Bilateral	$1,243	$372.90	$109.16 – $239.45
Diagnostic mammogram, both breasts: 10 of 24 insurance plan rates Aetna — Choice POS & Health Network Option: $239.45 Aetna — HMO & POS: $239.45 Aetna — Medicare HMO, PPO, & NAP: $111.50 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $239.45 Aetna Better Health — Medicaid: $111.05 Aetna Better Health — MMAI Dual Eligibility: $111.50 BCBS Community — Medicaid: $111.05 BCBS Community — MMAI Dual Eligibility: $109.16 Clear Springs Health — Medicare: $111.50 County Care Health Plan — Medicaid: $111.05
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Doctor (professional) fee In the file: HC Scr Mammo Bi Incl Cad - Mammo Breast Screening Bilateral	$753	$225.90	$128.61 – $167.19
Screening mammogram, both breasts: 10 of 79 insurance plan rates Aetna — Choice POS & Health Network Option: $214.31 Aetna — Medicare HMO, PPO, & NAP: $128.61 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $214.31 Aetna — Workers Comp: $214.31 Aetna Better Health — Medicaid: $128.61 AXA/HAA Preferred Partners — PPO: $451.80 BCBS — Access Community Health Network: $193.52 BCBS — Advocate Health Systems IPA: $163.33 BCBS — Blue Advantage HMO: $192.92 BCBS — Blue Choice City of Chicago: $160.95
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Scr Mammo Bi Incl Cad - Mammo Breast Screening Bilateral	$918	$275.40	$111.05 – $780.30
Screening mammogram, both breasts: 10 of 62 insurance plan rates Aetna — Workers Comp: $488.38 Aetna Better Health — Medicaid: $111.05 AXA/HAA Preferred Partners — PPO: $550.80 BCBS — Access Community Health Network: $374.54 BCBS — Advocate Health Systems IPA: $374.54 BCBS — Blue Advantage HMO: $374.54 BCBS — Blue Choice City of Chicago: $377.30 BCBS — Blue Choice Opt PPO: $400.25 BCBS — Blue Precision HMO: $363.53 BCBS — HMO of Illinois: $374.54
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Scr Mammo Bi Incl Cad - Mammo Breast Screening Left	$918	$275.40	$111.05 – $780.30
Screening mammogram, both breasts: 10 of 62 insurance plan rates Aetna — Workers Comp: $488.38 Aetna Better Health — Medicaid: $111.05 AXA/HAA Preferred Partners — PPO: $550.80 BCBS — Access Community Health Network: $374.54 BCBS — Advocate Health Systems IPA: $374.54 BCBS — Blue Advantage HMO: $374.54 BCBS — Blue Choice City of Chicago: $377.30 BCBS — Blue Choice Opt PPO: $400.25 BCBS — Blue Precision HMO: $363.53 BCBS — HMO of Illinois: $374.54

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ELECTROCARDIOGRAM, COMPLETE	$86	$25.80	$13.64 – $79.70
Electrocardiogram (ECG/EKG) with reading: 10 of 82 insurance plan rates Aetna — Choice POS & Health Network Option: $28.81 Aetna — Medicare HMO, PPO, & NAP: $14.78 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $28.81 Aetna — Workers Comp: $28.81 Aetna Better Health — Medicaid: $13.64 AXA/HAA Preferred Partners — PPO: $51.60 BCBS — Access Community Health Network: $30.49 BCBS — Advocate Health Systems IPA: $18.77 BCBS — Blue Advantage HMO: $22.17 BCBS — Blue Choice City of Chicago: $16.40
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR ELECTROCARDIOGRAM, COMPLETE	$86	$25.80	$17.74
Electrocardiogram (ECG/EKG) with reading: rates for 1 insurance plan Union Health Service — All Products: $17.74
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Doctor (professional) fee In the file: HC Cath Left Heart Cath Inject Vetriculography Image Supervise/Interp	$5,586	$1,675.80	$349.91 – $5,586
Left heart catheterization (diagnostic): 10 of 82 insurance plan rates Aetna — Choice POS & Health Network Option: $1,874.78 Aetna — Medicare HMO, PPO, & NAP: $437.39 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $1,874.78 Aetna — Workers Comp: $1,874.78 Aetna Better Health — Medicaid: $573.13 AXA/HAA Preferred Partners — PPO: $3,351.60 BCBS — Access Community Health Network: $770.21 BCBS — Advocate Health Systems IPA: $1,110.96 BCBS — Blue Advantage HMO: $1,312.16 BCBS — Blue Choice City of Chicago: $970.14
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Cath Left Heart Cath Inject Vetriculography, Image Supervise/Interp	$12,407	$3,722.10	$4,094.31 – $10,545.95
Left heart catheterization (diagnostic): 10 of 62 insurance plan rates Aetna — Workers Comp: $6,600.52 Aetna Better Health — Medicaid: $5,609.93 AXA/HAA Preferred Partners — PPO: $7,444.20 BCBS — Access Community Health Network: $5,062.06 BCBS — Advocate Health Systems IPA: $5,062.06 BCBS — Blue Advantage HMO: $5,062.06 BCBS — Blue Choice City of Chicago: $5,099.28 BCBS — Blue Choice Opt PPO: $5,409.45 BCBS — Blue Precision HMO: $4,913.17 BCBS — HMO of Illinois: $5,062.06
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Cath Left Heart Cath Inject Vetriculography, Image Supervise/Interp	$12,407	$3,722.10	$3,282.44 – $5,609.93
Left heart catheterization (diagnostic): 10 of 21 insurance plan rates Aetna — Medicare HMO, PPO, & NAP: $3,352.85 Aetna Better Health — Medicaid: $5,609.93 Aetna Better Health — MMAI Dual Eligibility: $3,352.85 BCBS Community — Medicaid: $5,609.93 BCBS Community — MMAI Dual Eligibility: $3,282.44 Clear Springs Health — Medicare: $3,352.85 County Care Health Plan — Medicaid: $5,609.93 Coventry — Medicare Advantage: $3,352.85 Longevity Health Plan — Medicare Advantage: $3,352.85 Medicare — Part A and B & Medicare Railroad: $3,352.85
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Doctor (professional) fee In the file: HC Ep Compre Electrophysiologic W/O Arrhyt Induction	$4,540	$1,362	$323.61 – $4,540
Heart rhythm study (electrophysiology evaluation): 10 of 82 insurance plan rates Aetna — Choice POS & Health Network Option: $1,388.52 Aetna — Medicare HMO, PPO, & NAP: $404.52 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $1,388.52 Aetna — Workers Comp: $1,388.52 Aetna Better Health — Medicaid: $452.87 AXA/HAA Preferred Partners — PPO: $2,724 BCBS — Access Community Health Network: $625.01 BCBS — Advocate Health Systems IPA: $1,027.47 BCBS — Blue Advantage HMO: $1,213.55 BCBS — Blue Choice City of Chicago: $787.25
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Ep Compre Electrophysiologic W/O Arrhyt Induction	$15,111	$4,533.30	$4,986.63 – $14,815.31
Heart rhythm study (electrophysiology evaluation): 10 of 62 insurance plan rates Aetna — Choice POS & Health Network Option: $7,207.95 Aetna — HMO & POS: $7,207.95 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $7,207.95 Aetna — Workers Comp: $8,039.05 Aetna Better Health — Medicaid: $14,815.31 AXA/HAA Preferred Partners — PPO: $9,066.60 BCBS — Access Community Health Network: $6,165.29 BCBS — Advocate Health Systems IPA: $6,165.29 BCBS — Blue Advantage HMO: $6,165.29 BCBS — Blue Choice City of Chicago: $6,210.62
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Ep Compre Electrophysiologic W/O Arrhyt Induction	$15,111	$4,533.30	$7,495.06 – $43,724
Heart rhythm study (electrophysiology evaluation): 10 of 24 insurance plan rates Aetna — Medicare HMO, PPO, & NAP: $7,909.99 Aetna Better Health — Medicaid: $14,815.31 Aetna Better Health — MMAI Dual Eligibility: $7,909.99 BCBS Community — Medicaid: $14,815.31 BCBS Community — MMAI Dual Eligibility: $7,743.88 Cigna — All Products: $7,495.06 Clear Springs Health — Medicare: $7,909.99 County Care Health Plan — Medicaid: $14,815.31 Coventry — Medicare Advantage: $7,909.99 Healthlink — HMO: $43,724
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient · Doctor (professional) fee In the file: HC Ep Ephys Evl Trnsptl Tx Atrial Fib Isolat Pulm Vein	$6,957	$2,087.10	$515.55 – $1,143.50
Heart rhythm study with ablation for atrial fibrillation: 10 of 79 insurance plan rates Aetna — Choice POS & Health Network Option: $2,334.80 Aetna — Medicare HMO, PPO, & NAP: $515.55 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $2,334.80 Aetna — Workers Comp: $2,334.80 Aetna Better Health — Medicaid: $709.43 AXA/HAA Preferred Partners — PPO: $4,174.20 BCBS — Access Community Health Network: $907.85 BCBS — Advocate Health Systems IPA: $1,309.48 BCBS — Blue Advantage HMO: $1,546.64 BCBS — Blue Choice City of Chicago: $1,143.50
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Ep Ephys Evl Trnsptl Tx Atrial Fib Isolat Pulm Vein	$42,975	$12,892.50	$2,385 – $40,642.73
Heart rhythm study with ablation for atrial fibrillation: 10 of 65 insurance plan rates Aetna — Choice POS & Health Network Option: $20,499.08 Aetna — HMO & POS: $20,499.08 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $20,499.08 Aetna — Workers Comp: $22,862.70 Aetna Better Health — Medicaid: $40,642.73 AXA/HAA Preferred Partners — PPO: $25,785 BCBS — Access Community Health Network: $17,533.80 BCBS — Advocate Health Systems IPA: $17,533.80 BCBS — Blue Advantage HMO: $17,533.80 BCBS — Blue Choice City of Chicago: $17,662.73
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Ep Ephys Evl Trnsptl Tx Atrial Fib Isolat Pulm Vein	$42,975	$12,892.50	$25,035.93 – $40,642.73
Heart rhythm study with ablation for atrial fibrillation: 10 of 21 insurance plan rates Aetna — Medicare HMO, PPO, & NAP: $25,572.96 Aetna Better Health — Medicaid: $40,642.73 Aetna Better Health — MMAI Dual Eligibility: $25,572.96 BCBS Community — Medicaid: $40,642.73 BCBS Community — MMAI Dual Eligibility: $25,035.93 Clear Springs Health — Medicare: $25,572.96 County Care Health Plan — Medicaid: $40,642.73 Coventry — Medicare Advantage: $25,572.96 Longevity Health Plan — Medicare Advantage: $25,572.96 Medicare — Part A and B & Medicare Railroad: $25,572.96
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Doctor (professional) fee In the file: HC Polysom 6/> Yrs 4/> Param	$3,531	$1,059.30	$398.94 – $3,531
Sleep study (overnight, in a sleep lab): 10 of 82 insurance plan rates Aetna — Choice POS & Health Network Option: $1,128.45 Aetna — Medicare HMO, PPO, & NAP: $628.86 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $1,128.45 Aetna — Workers Comp: $1,128.45 Aetna Better Health — Medicaid: $398.94 AXA/HAA Preferred Partners — PPO: $2,118.60 BCBS — Access Community Health Network: $986.46 BCBS — Advocate Health Systems IPA: $798.65 BCBS — Blue Advantage HMO: $943.29 BCBS — Blue Choice City of Chicago: $697.42
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Polysom 6/> Yrs 4/> Param	$3,295	$988.50	$1,087.35 – $2,800.75
Sleep study (overnight, in a sleep lab): 10 of 62 insurance plan rates Aetna — Workers Comp: $1,752.94 Aetna Better Health — Medicaid: $1,838.14 AXA/HAA Preferred Partners — PPO: $1,977 BCBS — Access Community Health Network: $1,344.36 BCBS — Advocate Health Systems IPA: $1,344.36 BCBS — Blue Advantage HMO: $1,344.36 BCBS — Blue Choice City of Chicago: $1,354.25 BCBS — Blue Choice Opt PPO: $1,436.62 BCBS — Blue Precision HMO: $1,304.82 BCBS — HMO of Illinois: $1,344.36
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Polysom 6/> Yrs 4/> Param	$3,295	$988.50	$1,038.28 – $1,838.14
Sleep study (overnight, in a sleep lab): 10 of 24 insurance plan rates Aetna — Choice POS & Health Network Option: $1,090.78 Aetna — HMO & POS: $1,090.78 Aetna — Medicare HMO, PPO, & NAP: $1,060.55 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $1,090.78 Aetna Better Health — Medicaid: $1,838.14 Aetna Better Health — MMAI Dual Eligibility: $1,060.55 BCBS Community — Medicaid: $1,838.14 BCBS Community — MMAI Dual Eligibility: $1,038.28 Clear Springs Health — Medicare: $1,060.55 County Care Health Plan — Medicaid: $1,838.14

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Doctor (professional) fee In the file: HC Ot Therapeutic Exercises - Ea 15 Min	$170	$51	$19.41 – $55.59
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 81 insurance plan rates Aetna — Choice POS & Health Network Option: $23.81 Aetna — Medicare HMO, PPO, & NAP: $29.54 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $23.81 Aetna — Workers Comp: $23.81 Aetna Better Health — Medicaid: $19.41 AXA/HAA Preferred Partners — PPO: $102 BCBS — Access Community Health Network: $30.16 BCBS — Advocate Health Systems IPA: $37.52 BCBS — Blue Advantage HMO: $44.31 BCBS — Blue Choice City of Chicago: $28.81
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Ot Therapeutic Exercises - Ea 15 Min	$296	$88.80	$83.83 – $2,385
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 62 insurance plan rates Aetna — Workers Comp: $157.47 Aetna Better Health — Medicaid: $83.83 AXA/HAA Preferred Partners — PPO: $177.60 BCBS — Access Community Health Network: $120.77 BCBS — Advocate Health Systems IPA: $120.77 BCBS — Blue Advantage HMO: $120.77 BCBS — Blue Choice City of Chicago: $121.66 BCBS — Blue Choice Opt PPO: $129.06 BCBS — Blue Precision HMO: $117.22 BCBS — HMO of Illinois: $120.77
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Pt Therapeutic Exercises - Ea 15 Min	$284	$85.20	$35 – $2,385
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 62 insurance plan rates Aetna — Workers Comp: $151.09 Aetna Better Health — Medicaid: $83.83 AXA/HAA Preferred Partners — PPO: $170.40 BCBS — Access Community Health Network: $115.87 BCBS — Advocate Health Systems IPA: $115.87 BCBS — Blue Advantage HMO: $115.87 BCBS — Blue Choice City of Chicago: $116.72 BCBS — Blue Choice Opt PPO: $123.82 BCBS — Blue Precision HMO: $112.46 BCBS — HMO of Illinois: $115.87
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Doctor (professional) fee In the file: HC Pt Physical Therapy Evaluation Low Complex 20 Mins	$567	$170.10	$100.75 – $132.27
Physical therapy evaluation (low complexity): 10 of 75 insurance plan rates Aetna — Choice POS & Health Network Option: $79.53 Aetna — Medicare HMO, PPO, & NAP: $100.75 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $79.53 Aetna — Workers Comp: $79.53 AXA/HAA Preferred Partners — PPO: $340.20 BCBS — Access Community Health Network: $68.12 BCBS — Advocate Health Systems IPA: $127.95 BCBS — Blue Advantage HMO: $151.13 BCBS — Blue Choice City of Chicago: $108.68 BCBS — Blue Choice Opt PPO: $108.68
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Pt Physical Therapy Evaluation Low Complex 20 Mins	$354	$106.20	$35 – $2,385
Physical therapy evaluation (low complexity): 10 of 62 insurance plan rates Aetna — Workers Comp: $188.33 Aetna Better Health — Medicaid: $440.71 AXA/HAA Preferred Partners — PPO: $212.40 BCBS — Access Community Health Network: $144.43 BCBS — Advocate Health Systems IPA: $144.43 BCBS — Blue Advantage HMO: $144.43 BCBS — Blue Choice City of Chicago: $145.49 BCBS — Blue Choice Opt PPO: $154.34 BCBS — Blue Precision HMO: $140.18 BCBS — HMO of Illinois: $144.43
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Pt Physical Therapy Evaluation Low Complex 20 Mins	$354	$106.20	$98.63 – $440.71
Physical therapy evaluation (low complexity): 10 of 24 insurance plan rates Aetna — Choice POS & Health Network Option: $108.09 Aetna — HMO & POS: $108.09 Aetna — Medicare HMO, PPO, & NAP: $100.75 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $108.09 Aetna Better Health — Medicaid: $440.71 Aetna Better Health — MMAI Dual Eligibility: $100.75 BCBS Community — Medicaid: $440.71 BCBS Community — MMAI Dual Eligibility: $98.63 Clear Springs Health — Medicare: $100.75 County Care Health Plan — Medicaid: $440.71
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Doctor (professional) fee In the file: HC Pt Physical Therapy Evaluation Mod Complex 30 Mins	$567	$170.10	$100.75 – $132.27
Physical therapy evaluation (moderate complexity): 10 of 75 insurance plan rates Aetna — Choice POS & Health Network Option: $79.53 Aetna — Medicare HMO, PPO, & NAP: $100.75 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $79.53 Aetna — Workers Comp: $79.53 AXA/HAA Preferred Partners — PPO: $340.20 BCBS — Access Community Health Network: $75.69 BCBS — Advocate Health Systems IPA: $127.95 BCBS — Blue Advantage HMO: $151.13 BCBS — Blue Choice City of Chicago: $108.68 BCBS — Blue Choice Opt PPO: $108.68
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Pt Physical Therapy Evaluation Mod Complex 30 Mins	$354	$106.20	$35 – $2,385
Physical therapy evaluation (moderate complexity): 10 of 62 insurance plan rates Aetna — Workers Comp: $188.33 Aetna Better Health — Medicaid: $440.71 AXA/HAA Preferred Partners — PPO: $212.40 BCBS — Access Community Health Network: $144.43 BCBS — Advocate Health Systems IPA: $144.43 BCBS — Blue Advantage HMO: $144.43 BCBS — Blue Choice City of Chicago: $145.49 BCBS — Blue Choice Opt PPO: $154.34 BCBS — Blue Precision HMO: $140.18 BCBS — HMO of Illinois: $144.43
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Pt Physical Therapy Evaluation Mod Complex 30 Mins	$354	$106.20	$98.63 – $440.71
Physical therapy evaluation (moderate complexity): 10 of 24 insurance plan rates Aetna — Choice POS & Health Network Option: $108.09 Aetna — HMO & POS: $108.09 Aetna — Medicare HMO, PPO, & NAP: $100.75 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $108.09 Aetna Better Health — Medicaid: $440.71 Aetna Better Health — MMAI Dual Eligibility: $100.75 BCBS Community — Medicaid: $440.71 BCBS Community — MMAI Dual Eligibility: $98.63 Clear Springs Health — Medicare: $100.75 County Care Health Plan — Medicaid: $440.71
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Doctor (professional) fee In the file: HC Pt Physical Therapy Evaluation High Complex 45 Mins	$567	$170.10	$74.18 – $567
Physical therapy evaluation (high complexity): 10 of 75 insurance plan rates Aetna — Choice POS & Health Network Option: $79.53 Aetna — Medicare HMO, PPO, & NAP: $100.75 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $79.53 Aetna — Workers Comp: $79.53 AXA/HAA Preferred Partners — PPO: $340.20 BCBS — Access Community Health Network: $83.29 BCBS — Advocate Health Systems IPA: $127.95 BCBS — Blue Advantage HMO: $151.13 BCBS — Blue Choice City of Chicago: $108.68 BCBS — Blue Choice Opt PPO: $108.68
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Pt Physical Therapy Evaluation High Complex 45 Mins	$354	$106.20	$35 – $2,385
Physical therapy evaluation (high complexity): 10 of 62 insurance plan rates Aetna — Workers Comp: $188.33 Aetna Better Health — Medicaid: $440.71 AXA/HAA Preferred Partners — PPO: $212.40 BCBS — Access Community Health Network: $144.43 BCBS — Advocate Health Systems IPA: $144.43 BCBS — Blue Advantage HMO: $144.43 BCBS — Blue Choice City of Chicago: $145.49 BCBS — Blue Choice Opt PPO: $154.34 BCBS — Blue Precision HMO: $140.18 BCBS — HMO of Illinois: $144.43
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Pt Physical Therapy Evaluation High Complex 45 Mins	$354	$106.20	$98.63 – $440.71
Physical therapy evaluation (high complexity): 10 of 24 insurance plan rates Aetna — Choice POS & Health Network Option: $108.09 Aetna — HMO & POS: $108.09 Aetna — Medicare HMO, PPO, & NAP: $100.75 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $108.09 Aetna Better Health — Medicaid: $440.71 Aetna Better Health — MMAI Dual Eligibility: $100.75 BCBS Community — Medicaid: $440.71 BCBS Community — MMAI Dual Eligibility: $98.63 Clear Springs Health — Medicare: $100.75 County Care Health Plan — Medicaid: $440.71
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Doctor (professional) fee In the file: HC Psychotherapy Patient 30 Minutes	$381	$114.30	$46.98 – $100.12
Psychotherapy, 30 minutes: 10 of 82 insurance plan rates Aetna — Choice POS & Health Network Option: $74.11 Aetna — Medicare HMO, PPO, & NAP: $70.81 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $74.11 Aetna — Workers Comp: $131.79 Aetna Better Health — Medicaid: $46.98 AXA/HAA Preferred Partners — PPO: $228.60 BCBS — Access Community Health Network: $97.64 BCBS — Advocate Health Systems IPA: $89.93 BCBS — Blue Advantage HMO: $106.22 BCBS — Blue Choice City of Chicago: $100.12
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Psychotherapy Patient 30 Minutes	$307	$92.10	$101.31 – $2,385
Psychotherapy, 30 minutes: 10 of 62 insurance plan rates Aetna — Choice POS & Health Network Option: $146.44 Aetna — HMO & POS: $146.44 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $146.44 Aetna — Workers Comp: $163.32 Aetna Better Health — Medicaid: $300.76 AXA/HAA Preferred Partners — PPO: $184.20 BCBS — Access Community Health Network: $125.26 BCBS — Advocate Health Systems IPA: $125.26 BCBS — Blue Advantage HMO: $125.26 BCBS — Blue Choice City of Chicago: $126.18
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Doctor (professional) fee In the file: HC Psychotherapy Patient 30 Minutes	$381	$114.30	$46.98 – $148.70
Psychotherapy, 30 minutes: 10 of 47 insurance plan rates Aetna — Choice POS & Health Network Option: $131.79 Aetna — Medicare HMO, PPO, & NAP: $70.81 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $131.79 Aetna Better Health — Medicaid: $46.98 BCBS — Advocate Health Systems IPA: $89.93 BCBS — Blue Advantage HMO: $106.22 BCBS Community — Medicaid: $46.98 Campus Care — All Products: $106.22 Cigna — All Products: $110.01 Clear Springs Health — Medicare: $72.93
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Doctor (professional) fee In the file: HC Psychotherapy Patient 45 Minutes	$509	$152.70	$62.03 – $151.58
Psychotherapy, 45 minutes: 10 of 85 insurance plan rates Aetna — Choice POS & Health Network Option: $186.73 Aetna — Medicare HMO, PPO, & NAP: $93.33 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $186.73 Aetna — Workers Comp: $186.73 Aetna Better Health — Medicaid: $62.03 AXA/HAA Preferred Partners — PPO: $305.40 BCBS — Access Community Health Network: $129.71 BCBS — Advocate Health Systems IPA: $118.53 BCBS — Blue Advantage HMO: $140 BCBS — Blue Choice City of Chicago: $132.68
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Psychotherapy Patient 45 Minutes	$411	$123.30	$135.63 – $2,385
Psychotherapy, 45 minutes: 10 of 62 insurance plan rates Aetna — Choice POS & Health Network Option: $196.05 Aetna — HMO & POS: $196.05 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $196.05 Aetna — Workers Comp: $218.65 Aetna Better Health — Medicaid: $359.38 AXA/HAA Preferred Partners — PPO: $246.60 BCBS — Access Community Health Network: $167.69 BCBS — Advocate Health Systems IPA: $167.69 BCBS — Blue Advantage HMO: $167.69 BCBS — Blue Choice City of Chicago: $168.92
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) · Doctor (professional) fee In the file: HC Psychotherapy Patient 45 Minutes	$509	$152.70	$62.03 – $195.99
Psychotherapy, 45 minutes: 10 of 47 insurance plan rates Aetna — Choice POS & Health Network Option: $186.73 Aetna — Medicare HMO, PPO, & NAP: $93.33 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $186.73 Aetna Better Health — Medicaid: $62.03 BCBS — Advocate Health Systems IPA: $118.53 BCBS — Blue Advantage HMO: $140 BCBS Community — Medicaid: $62.03 Campus Care — All Products: $140 Cigna — All Products: $145.11 Clear Springs Health — Medicare: $96.13
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Doctor (professional) fee In the file: HC Psychotherapy Patient 60 Minutes	$752	$225.60	$91.58 – $179.86
Psychotherapy, 60 minutes: 10 of 82 insurance plan rates Aetna — Choice POS & Health Network Option: $261.70 Aetna — Medicare HMO, PPO, & NAP: $138.35 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $261.70 Aetna — Workers Comp: $261.70 Aetna Better Health — Medicaid: $91.58 AXA/HAA Preferred Partners — PPO: $451.20 BCBS — Access Community Health Network: $190.95 BCBS — Advocate Health Systems IPA: $175.70 BCBS — Blue Advantage HMO: $237.81 BCBS — Blue Choice City of Chicago: $174.24
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Psychotherapy Patient 60 Minutes	$411	$123.30	$135.63 – $2,385
Psychotherapy, 60 minutes: 10 of 62 insurance plan rates Aetna — Choice POS & Health Network Option: $196.05 Aetna — HMO & POS: $196.05 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $196.05 Aetna — Workers Comp: $218.65 Aetna Better Health — Medicaid: $359.38 AXA/HAA Preferred Partners — PPO: $246.60 BCBS — Access Community Health Network: $167.69 BCBS — Advocate Health Systems IPA: $167.69 BCBS — Blue Advantage HMO: $167.69 BCBS — Blue Choice City of Chicago: $168.92
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Doctor (professional) fee In the file: HC Psychotherapy Patient 60 Minutes	$752	$225.60	$110.68 – $290.54
Psychotherapy, 60 minutes: 10 of 39 insurance plan rates Aetna — Medicare HMO, PPO, & NAP: $138.35 BCBS — Advocate Health Systems IPA: $175.70 BCBS — Blue Advantage HMO: $207.53 Campus Care — All Products: $207.53 Cigna — All Products: $214.26 Clear Springs Health — Medicare: $142.50 Coventry — Medicare Advantage: $138.35 Dolton Medical Associates — All Products: $172.94 Fox Valey Medicine LTD — All Products: $186.77 Health Alliance — Medicare: $138.35
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Doctor (professional) fee In the file: HC Family PsychotherapyNo Pt	$549	$164.70	$101.16 – $151.17
Family psychotherapy, without the patient: 10 of 79 insurance plan rates Aetna — Choice POS & Health Network Option: $197.74 Aetna — Medicare HMO, PPO, & NAP: $101.16 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $197.74 Aetna — Workers Comp: $197.74 AXA/HAA Preferred Partners — PPO: $329.40 BCBS — Access Community Health Network: $128.27 BCBS — Advocate Health Systems IPA: $128.47 BCBS — Blue Advantage HMO: $151.74 BCBS — Blue Choice City of Chicago: $127.39 BCBS — Blue Choice Opt PPO: $127.39
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Family Psychotherapy,No Pt	$560	$168	$184.80 – $476
Family psychotherapy, without the patient: 10 of 62 insurance plan rates Aetna — Choice POS & Health Network Option: $267.12 Aetna — HMO & POS: $267.12 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $267.12 Aetna — Workers Comp: $297.92 Aetna Better Health — Medicaid: $391.94 AXA/HAA Preferred Partners — PPO: $336 BCBS — Access Community Health Network: $228.48 BCBS — Advocate Health Systems IPA: $228.48 BCBS — Blue Advantage HMO: $228.48 BCBS — Blue Choice City of Chicago: $230.16
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) · Doctor (professional) fee In the file: HC Family PsychotherapyNo Pt	$549	$164.70	$80.93 – $212.44
Family psychotherapy, without the patient: 10 of 44 insurance plan rates Aetna — Choice POS & Health Network Option: $197.74 Aetna — Medicare HMO, PPO, & NAP: $101.16 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $197.74 BCBS — Advocate Health Systems IPA: $128.47 BCBS — Blue Advantage HMO: $151.74 Campus Care — All Products: $151.74 Cigna — All Products: $156.65 Clear Springs Health — Medicare: $104.19 Coventry — Medicare Advantage: $101.16 Dolton Medical Associates — All Products: $126.45
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Doctor (professional) fee In the file: HC Family Psychotherapy W Phys	$567	$170.10	$69.80 – $137.03
Family psychotherapy, with the patient: 10 of 85 insurance plan rates Aetna — Choice POS & Health Network Option: $205.52 Aetna — Medicare HMO, PPO, & NAP: $105.41 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $205.52 Aetna — Workers Comp: $205.52 Aetna Better Health — Medicaid: $69.80 AXA/HAA Preferred Partners — PPO: $340.20 BCBS — Access Community Health Network: $161.91 BCBS — Advocate Health Systems IPA: $133.87 BCBS — Blue Advantage HMO: $158.12 BCBS — Blue Choice City of Chicago: $133.70
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Family Psychotherapy W Phys	$503	$150.90	$165.99 – $427.55
Family psychotherapy, with the patient: 10 of 62 insurance plan rates Aetna — Choice POS & Health Network Option: $239.93 Aetna — HMO & POS: $239.93 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $239.93 Aetna — Workers Comp: $267.60 Aetna Better Health — Medicaid: $391.94 AXA/HAA Preferred Partners — PPO: $301.80 BCBS — Access Community Health Network: $205.22 BCBS — Advocate Health Systems IPA: $205.22 BCBS — Blue Advantage HMO: $205.22 BCBS — Blue Choice City of Chicago: $206.73
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) · Doctor (professional) fee In the file: HC Family Psychotherapy W Phys	$567	$170.10	$84.33 – $221.36
Family psychotherapy, with the patient: 10 of 42 insurance plan rates Aetna — Medicare HMO, PPO, & NAP: $105.41 BCBS — Advocate Health Systems IPA: $133.87 BCBS — Blue Advantage HMO: $158.12 Campus Care — All Products: $158.12 Cigna — All Products: $163.46 Clear Springs Health — Medicare: $108.57 Coventry — Medicare Advantage: $105.41 Dolton Medical Associates — All Products: $131.76 Fox Valey Medicine LTD — All Products: $142.30 Franciscan Hammond Clinic LLC — All Products: $137.47
Group psychotherapy CPT 90853 · Inpatient or outpatient · Doctor (professional) fee In the file: HC Group Psychotherapy	$134	$40.20	$20.10 – $134
Group psychotherapy: 10 of 85 insurance plan rates Aetna — Choice POS & Health Network Option: $45 Aetna — Medicare HMO, PPO, & NAP: $25.13 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $45 Aetna — Workers Comp: $39.81 Aetna Better Health — Medicaid: $33.70 AXA/HAA Preferred Partners — PPO: $80.40 BCBS — Access Community Health Network: $35.04 BCBS — Advocate Health Systems IPA: $31.92 BCBS — Blue Advantage HMO: $37.70 BCBS — Blue Choice City of Chicago: $35.80
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Group Psychotherapy	$301	$90.30	$99.33 – $547.75
Group psychotherapy: 10 of 62 insurance plan rates Aetna — Choice POS & Health Network Option: $143.58 Aetna — HMO & POS: $143.58 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $143.58 Aetna — Workers Comp: $160.13 Aetna Better Health — Medicaid: $547.75 AXA/HAA Preferred Partners — PPO: $180.60 BCBS — Access Community Health Network: $122.81 BCBS — Advocate Health Systems IPA: $122.81 BCBS — Blue Advantage HMO: $122.81 BCBS — Blue Choice City of Chicago: $123.71
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Group Psychotherapy Intensive Outpatient Chemical Dependency	$301	$90.30	$99.33 – $2,385
Group psychotherapy: 10 of 62 insurance plan rates Aetna — Choice POS & Health Network Option: $143.58 Aetna — HMO & POS: $143.58 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $143.58 Aetna — Workers Comp: $160.13 Aetna Better Health — Medicaid: $547.75 AXA/HAA Preferred Partners — PPO: $180.60 BCBS — Access Community Health Network: $122.81 BCBS — Advocate Health Systems IPA: $122.81 BCBS — Blue Advantage HMO: $122.81 BCBS — Blue Choice City of Chicago: $123.71

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Doctor (professional) fee In the file: HC Excise Breast Cyst	$2,579	$773.70	$233.08 – $1,245.64
Removal of breast growth (open surgery): 10 of 82 insurance plan rates Aetna — Choice POS & Health Network Option: $692.26 Aetna — Medicare HMO, PPO, & NAP: $233.08 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $692.26 Aetna — Workers Comp: $692.26 Aetna Better Health — Medicaid: $292.39 AXA/HAA Preferred Partners — PPO: $1,547.40 BCBS — Access Community Health Network: $311.29 BCBS — Advocate Health Systems IPA: $592.02 BCBS — Blue Advantage HMO: $699.24 BCBS — Blue Choice City of Chicago: $522.15
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Excise Breast Cyst	$4,047	$1,214.10	$1,201.96 – $5,138
Removal of breast growth (open surgery): 10 of 59 insurance plan rates Aetna — Workers Comp: $2,153 Aetna Better Health — Medicaid: $3,093.62 AXA/HAA Preferred Partners — PPO: $2,428.20 BCBS — Access Community Health Network: $1,262.66 BCBS — Advocate Health Systems IPA: $1,262.66 BCBS — Blue Advantage HMO: $1,262.66 BCBS — Blue Choice City of Chicago: $1,663.32 BCBS — Blue Choice Opt PPO: $1,764.49 BCBS — Blue Precision HMO: $1,201.96 BCBS — HMO of Illinois: $1,262.66
Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) · Doctor (professional) fee In the file: HC Excise Breast Cyst	$2,579	$773.70	$291.35 – $522.15
Removal of breast growth (open surgery): 10 of 55 insurance plan rates Aetna — Choice POS & Health Network Option: $692.26 Aetna — Medicare HMO, PPO, & NAP: $233.08 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $692.26 Aetna — Workers Comp: $692.26 BCBS — Access Community Health Network: $311.29 BCBS — Advocate Health Systems IPA: $592.02 BCBS — Blue Advantage HMO: $699.24 BCBS — Blue Choice City of Chicago: $522.15 BCBS — Blue Choice Opt PPO: $522.15 BCBS — PPO: $622.58
Total hip replacement CPT 27130 · Inpatient or outpatient · Doctor (professional) fee In the file: PR TOTAL HIP ARTHROPLASTY	$7,868	$2,360.40	$703.25 – $7,689.62
Total hip replacement: 10 of 82 insurance plan rates Aetna — Choice POS & Health Network Option: $2,263.27 Aetna — Medicare HMO, PPO, & NAP: $703.25 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $2,263.27 Aetna — Workers Comp: $2,263.27 Aetna Better Health — Medicaid: $1,271.96 AXA/HAA Preferred Partners — PPO: $4,720.80 BCBS — Access Community Health Network: $1,089.22 BCBS — Advocate Health Systems IPA: $1,786.24 BCBS — Blue Advantage HMO: $2,109.74 BCBS — Blue Choice City of Chicago: $1,575.42
Total knee replacement CPT 27447 · Inpatient or outpatient · Doctor (professional) fee In the file: PR TOTAL KNEE ARTHROPLASTY	$7,855	$2,356.50	$702.26 – $7,447.49
Total knee replacement: 10 of 82 insurance plan rates Aetna — Choice POS & Health Network Option: $2,259.58 Aetna — Medicare HMO, PPO, & NAP: $702.26 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $2,259.58 Aetna — Workers Comp: $2,259.58 Aetna Better Health — Medicaid: $1,269.86 AXA/HAA Preferred Partners — PPO: $4,713 BCBS — Access Community Health Network: $1,101.59 BCBS — Advocate Health Systems IPA: $1,783.73 BCBS — Blue Advantage HMO: $2,106.77 BCBS — Blue Choice City of Chicago: $1,573.20
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · Doctor (professional) fee In the file: PR SHLDR ARTHROSCOP,PART ACROMIOPLAS	$1,069	$320.70	$150.28 – $1,069
Shoulder arthroscopy: shaving of shoulder bone: 10 of 82 insurance plan rates Aetna — Choice POS & Health Network Option: $307.37 Aetna — Medicare HMO, PPO, & NAP: $187.85 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $307.37 Aetna — Workers Comp: $307.37 Aetna Better Health — Medicaid: $169.85 AXA/HAA Preferred Partners — PPO: $641.40 BCBS — Access Community Health Network: $290.96 BCBS — Advocate Health Systems IPA: $238.57 BCBS — Blue Advantage HMO: $281.78 BCBS — Blue Choice City of Chicago: $210.42
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · Doctor (professional) fee In the file: PR KNEE SCOPE,MED/LAT MENISECTOMY	$3,298	$989.40	$236.69 – $3,298
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 82 insurance plan rates Aetna — Choice POS & Health Network Option: $948.52 Aetna — Medicare HMO, PPO, & NAP: $295.86 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $948.52 Aetna — Workers Comp: $948.52 Aetna Better Health — Medicaid: $534.49 AXA/HAA Preferred Partners — PPO: $1,978.80 BCBS — Access Community Health Network: $468.13 BCBS — Advocate Health Systems IPA: $751.48 BCBS — Blue Advantage HMO: $887.58 BCBS — Blue Choice City of Chicago: $644.29
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient · Doctor (professional) fee In the file: PR REMOVE TONSILS/ADENOIDS,<12 Y/O	$1,710	$513	$155.81 – $1,064.95
Removal of tonsils and adenoids (under age 12): 10 of 82 insurance plan rates Aetna — Choice POS & Health Network Option: $497.37 Aetna — Medicare HMO, PPO, & NAP: $155.81 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $497.37 Aetna — Workers Comp: $497.37 Aetna Better Health — Medicaid: $200.07 AXA/HAA Preferred Partners — PPO: $1,026 BCBS — Access Community Health Network: $203.66 BCBS — Advocate Health Systems IPA: $395.76 BCBS — Blue Advantage HMO: $467.43 BCBS — Blue Choice City of Chicago: $340.94
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Doctor (professional) fee In the file: HC Egd Flex Incld Collect Spec	$721	$216.30	$64.20 – $721
Upper GI endoscopy (diagnostic): 10 of 82 insurance plan rates Aetna — Choice POS & Health Network Option: $209.85 Aetna — Medicare HMO, PPO, & NAP: $64.20 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $209.85 Aetna — Workers Comp: $209.85 Aetna Better Health — Medicaid: $118.42 AXA/HAA Preferred Partners — PPO: $432.60 BCBS — Access Community Health Network: $83.91 BCBS — Advocate Health Systems IPA: $163.06 BCBS — Blue Advantage HMO: $192.59 BCBS — Blue Choice City of Chicago: $140.47
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Egd Flex Incld Collect Spec	$2,680	$804	$795.96 – $5,138
Upper GI endoscopy (diagnostic): 10 of 59 insurance plan rates Aetna — Workers Comp: $1,425.76 Aetna Better Health — Medicaid: $2,242.77 AXA/HAA Preferred Partners — PPO: $1,608 BCBS — Access Community Health Network: $836.16 BCBS — Advocate Health Systems IPA: $836.16 BCBS — Blue Advantage HMO: $836.16 BCBS — Blue Choice City of Chicago: $1,101.48 BCBS — Blue Choice Opt PPO: $1,168.48 BCBS — Blue Precision HMO: $795.96 BCBS — HMO of Illinois: $836.16
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Egd; Complex Diagnostic	$3,990	$1,197	$1,185.03 – $5,138
Upper GI endoscopy (diagnostic): 10 of 59 insurance plan rates Aetna — Workers Comp: $2,122.68 Aetna Better Health — Medicaid: $2,242.77 AXA/HAA Preferred Partners — PPO: $2,394 BCBS — Access Community Health Network: $1,244.88 BCBS — Advocate Health Systems IPA: $1,244.88 BCBS — Blue Advantage HMO: $1,244.88 BCBS — Blue Choice City of Chicago: $1,639.89 BCBS — Blue Choice Opt PPO: $1,739.64 BCBS — Blue Precision HMO: $1,185.03 BCBS — HMO of Illinois: $1,244.88
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Doctor (professional) fee In the file: HC Egd Transoral Biopsy Single/Multiple - Egd	$809	$242.70	$71.89 – $807.36
Upper GI endoscopy with biopsy: 10 of 82 insurance plan rates Aetna — Choice POS & Health Network Option: $235.28 Aetna — Medicare HMO, PPO, & NAP: $71.89 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $235.28 Aetna — Workers Comp: $235.28 Aetna Better Health — Medicaid: $133.93 AXA/HAA Preferred Partners — PPO: $485.40 BCBS — Access Community Health Network: $93.96 BCBS — Advocate Health Systems IPA: $182.59 BCBS — Blue Advantage HMO: $215.66 BCBS — Blue Choice City of Chicago: $155.07
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Egd Transoral Biopsy Single/Multiple - Egd	$3,848	$1,154.40	$1,142.86 – $5,138
Upper GI endoscopy with biopsy: 10 of 59 insurance plan rates Aetna — Workers Comp: $2,047.14 Aetna Better Health — Medicaid: $2,242.77 AXA/HAA Preferred Partners — PPO: $2,308.80 BCBS — Access Community Health Network: $1,200.58 BCBS — Advocate Health Systems IPA: $1,200.58 BCBS — Blue Advantage HMO: $1,200.58 BCBS — Blue Choice City of Chicago: $1,581.53 BCBS — Blue Choice Opt PPO: $1,677.73 BCBS — Blue Precision HMO: $1,142.86 BCBS — HMO of Illinois: $1,200.58
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Doctor (professional) fee In the file: HC Egd Transoral Biopsy Single/Multiple - Egd	$809	$242.70	$89.86 – $131.81
Upper GI endoscopy with biopsy: 10 of 55 insurance plan rates Aetna — Choice POS & Health Network Option: $235.28 Aetna — Medicare HMO, PPO, & NAP: $71.89 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $235.28 Aetna — Workers Comp: $235.28 BCBS — Access Community Health Network: $80.77 BCBS — Advocate Health Systems IPA: $182.59 BCBS — Blue Advantage HMO: $215.66 BCBS — Blue Choice City of Chicago: $131.81 BCBS — Blue Choice Opt PPO: $131.81 BCBS — PPO: $187.92
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Doctor (professional) fee In the file: HC Colonoscopy Flx Dx W/Collj Spec When Pfrmd	$1,096	$328.80	$96.75 – $1,035.19
Colonoscopy (diagnostic): 10 of 82 insurance plan rates Aetna — Choice POS & Health Network Option: $318.68 Aetna — Medicare HMO, PPO, & NAP: $96.75 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $318.68 Aetna — Workers Comp: $318.68 Aetna Better Health — Medicaid: $178.60 AXA/HAA Preferred Partners — PPO: $657.60 BCBS — Access Community Health Network: $169.14 BCBS — Advocate Health Systems IPA: $245.73 BCBS — Blue Advantage HMO: $290.24 BCBS — Blue Choice City of Chicago: $208.70
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Colonoscopy Flx Dx W/Collj Spec When Pfrmd	$6,741	$2,022.30	$2,002.08 – $5,729.85
Colonoscopy (diagnostic): 10 of 59 insurance plan rates Aetna — Workers Comp: $3,586.21 Aetna Better Health — Medicaid: $2,291.70 AXA/HAA Preferred Partners — PPO: $4,044.60 BCBS — Access Community Health Network: $2,103.19 BCBS — Advocate Health Systems IPA: $2,103.19 BCBS — Blue Advantage HMO: $2,103.19 BCBS — Blue Choice City of Chicago: $2,770.55 BCBS — Blue Choice Opt PPO: $2,939.08 BCBS — Blue Precision HMO: $2,002.08 BCBS — HMO of Illinois: $2,103.19
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Doctor (professional) fee In the file: HC Colonoscopy Flx Dx W/Collj Spec When Pfrmd	$1,096	$328.80	$120.93 – $177.40
Colonoscopy (diagnostic): 10 of 55 insurance plan rates Aetna — Choice POS & Health Network Option: $318.68 Aetna — Medicare HMO, PPO, & NAP: $96.75 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $318.68 Aetna — Workers Comp: $318.68 BCBS — Access Community Health Network: $142.14 BCBS — Advocate Health Systems IPA: $245.73 BCBS — Blue Advantage HMO: $290.24 BCBS — Blue Choice City of Chicago: $177.40 BCBS — Blue Choice Opt PPO: $177.40 BCBS — PPO: $338.27
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Doctor (professional) fee In the file: HC Colonoscopy W/Biopsy Single/Multiple	$1,183	$354.90	$105.25 – $1,141.48
Colonoscopy with biopsy: 10 of 82 insurance plan rates Aetna — Choice POS & Health Network Option: $344.10 Aetna — Medicare HMO, PPO, & NAP: $105.25 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $344.10 Aetna — Workers Comp: $344.10 Aetna Better Health — Medicaid: $193.80 AXA/HAA Preferred Partners — PPO: $709.80 BCBS — Access Community Health Network: $196.05 BCBS — Advocate Health Systems IPA: $267.34 BCBS — Blue Advantage HMO: $315.75 BCBS — Blue Choice City of Chicago: $227.06
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Colonoscopy W/Biopsy Single/Multiple	$7,340	$2,202	$2,179.98 – $6,239
Colonoscopy with biopsy: 10 of 59 insurance plan rates Aetna — Workers Comp: $3,904.88 Aetna Better Health — Medicaid: $2,291.70 AXA/HAA Preferred Partners — PPO: $4,404 BCBS — Access Community Health Network: $2,290.08 BCBS — Advocate Health Systems IPA: $2,290.08 BCBS — Blue Advantage HMO: $2,290.08 BCBS — Blue Choice City of Chicago: $3,016.74 BCBS — Blue Choice Opt PPO: $3,200.24 BCBS — Blue Precision HMO: $2,179.98 BCBS — HMO of Illinois: $2,290.08
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Doctor (professional) fee In the file: HC Colonoscopy W/Biopsy Single/Multiple	$1,183	$354.90	$131.57 – $193
Colonoscopy with biopsy: 10 of 55 insurance plan rates Aetna — Choice POS & Health Network Option: $344.10 Aetna — Medicare HMO, PPO, & NAP: $105.25 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $344.10 Aetna — Workers Comp: $344.10 BCBS — Access Community Health Network: $164.16 BCBS — Advocate Health Systems IPA: $267.34 BCBS — Blue Advantage HMO: $315.75 BCBS — Blue Choice City of Chicago: $193 BCBS — Blue Choice Opt PPO: $193 BCBS — PPO: $392.09
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Doctor (professional) fee In the file: HC Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq	$1,491	$447.30	$132.09 – $1,454.29
Colonoscopy with removal of polyps (snare): 10 of 82 insurance plan rates Aetna — Choice POS & Health Network Option: $433.62 Aetna — Medicare HMO, PPO, & NAP: $132.09 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $433.62 Aetna — Workers Comp: $433.62 Aetna Better Health — Medicaid: $245.44 AXA/HAA Preferred Partners — PPO: $894.60 BCBS — Access Community Health Network: $246.03 BCBS — Advocate Health Systems IPA: $335.50 BCBS — Blue Advantage HMO: $396.26 BCBS — Blue Choice City of Chicago: $284.94
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq	$5,275	$1,582.50	$1,566.68 – $5,138
Colonoscopy with removal of polyps (snare): 10 of 59 insurance plan rates Aetna — Workers Comp: $2,806.30 Aetna Better Health — Medicaid: $2,291.70 AXA/HAA Preferred Partners — PPO: $3,165 BCBS — Access Community Health Network: $1,645.80 BCBS — Advocate Health Systems IPA: $1,645.80 BCBS — Blue Advantage HMO: $1,645.80 BCBS — Blue Choice City of Chicago: $2,168.03 BCBS — Blue Choice Opt PPO: $2,299.90 BCBS — Blue Precision HMO: $1,566.68 BCBS — HMO of Illinois: $1,645.80
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) · Doctor (professional) fee In the file: HC Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq	$1,491	$447.30	$165.11 – $242.20
Colonoscopy with removal of polyps (snare): 10 of 55 insurance plan rates Aetna — Choice POS & Health Network Option: $433.62 Aetna — Medicare HMO, PPO, & NAP: $132.09 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $433.62 Aetna — Workers Comp: $433.62 BCBS — Access Community Health Network: $207.45 BCBS — Advocate Health Systems IPA: $335.50 BCBS — Blue Advantage HMO: $396.26 BCBS — Blue Choice City of Chicago: $242.20 BCBS — Blue Choice Opt PPO: $242.20 BCBS — PPO: $492.05
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient or outpatient · Doctor (professional) fee In the file: HC Colsc Flx W/Ndsc US Xm Rctm Et Al Lmtd & Adj Structures	$1,503	$450.90	$106.72 – $1,503
Ultrasound of the lower bowel by endoscope: 10 of 82 insurance plan rates Aetna — Choice POS & Health Network Option: $437.25 Aetna — Medicare HMO, PPO, & NAP: $133.40 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $437.25 Aetna — Workers Comp: $437.25 Aetna Better Health — Medicaid: $204 AXA/HAA Preferred Partners — PPO: $901.80 BCBS — Access Community Health Network: $174.37 BCBS — Advocate Health Systems IPA: $338.84 BCBS — Blue Advantage HMO: $400.20 BCBS — Blue Choice City of Chicago: $291.08
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Colsc Flx W/Ndsc US Xm Rctm Et Al Lmtd & Adj Structures	$4,680	$1,404	$1,389.96 – $5,138
Ultrasound of the lower bowel by endoscope: 10 of 59 insurance plan rates Aetna — Workers Comp: $2,489.76 Aetna Better Health — Medicaid: $2,291.70 AXA/HAA Preferred Partners — PPO: $2,808 BCBS — Access Community Health Network: $1,460.16 BCBS — Advocate Health Systems IPA: $1,460.16 BCBS — Blue Advantage HMO: $1,460.16 BCBS — Blue Choice City of Chicago: $1,923.48 BCBS — Blue Choice Opt PPO: $2,040.48 BCBS — Blue Precision HMO: $1,389.96 BCBS — HMO of Illinois: $1,460.16
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Colsc Flx W/Ndsc US Xm Rctm Et Al Lmtd & Adj Structures	$4,680	$1,404	$1,203.29 – $12,040
Ultrasound of the lower bowel by endoscope: 10 of 26 insurance plan rates Aetna — Choice POS & Health Network Option: $1,356 Aetna — HMO & POS: $1,356 Aetna — Medicare HMO, PPO, & NAP: $1,229.10 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $1,629 Aetna Better Health — Medicaid: $2,291.70 Aetna Better Health — MMAI Dual Eligibility: $1,229.10 BCBS Community — Medicaid: $2,291.70 BCBS Community — MMAI Dual Eligibility: $1,203.29 Clear Springs Health — Medicare: $1,229.10 County Care Health Plan — Medicaid: $2,291.70
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COLON CA SCRN NOT HI RSK IND	$1,099	$329.70	$97.07 – $385.95
Screening colonoscopy (not high risk): 10 of 78 insurance plan rates Aetna — Choice POS & Health Network Option: $319.68 Aetna — Medicare HMO, PPO, & NAP: $97.07 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $319.68 Aetna — Workers Comp: $319.68 Aetna Better Health — Medicaid: $179.05 AXA/HAA Preferred Partners — PPO: $659.40 BCBS — Access Community Health Network: $285.70 BCBS — Advocate Health Systems IPA: $246.56 BCBS — Blue Advantage HMO: $291.21 BCBS — Blue Choice City of Chicago: $385.95
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Colonoscopy Scrn Low Risk(Med)	$3,188	$956.40	$946.84 – $5,138
Screening colonoscopy (not high risk): 10 of 61 insurance plan rates Aetna — Workers Comp: $1,696.02 Aetna Better Health — Medicaid: $2,291.70 AXA/HAA Preferred Partners — PPO: $1,912.80 BCBS — Access Community Health Network: $994.66 BCBS — Advocate Health Systems IPA: $994.66 BCBS — Blue Advantage HMO: $994.66 BCBS — Blue Choice City of Chicago: $1,310.27 BCBS — Blue Choice Opt PPO: $1,389.97 BCBS — Blue Precision HMO: $946.84 BCBS — HMO of Illinois: $994.66
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR COLON CA SCRN NOT HI RSK IND	$1,099	$329.70	$217.51 – $443.84
Screening colonoscopy (not high risk): 10 of 51 insurance plan rates Aetna — Choice POS & Health Network Option: $593.49 Aetna — Medicare HMO, PPO, & NAP: $174.01 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $593.49 Aetna — Workers Comp: $593.49 BCBS — Access Community Health Network: $333.79 BCBS — Advocate Health Systems IPA: $441.97 BCBS — Blue Advantage HMO: $522.02 BCBS — Blue Choice City of Chicago: $443.84 BCBS — Blue Choice Opt PPO: $443.84 BCBS — Unite Here Health: $443.84
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · Doctor (professional) fee In the file: PR LAP,CHOLECYSTECTOMY	$4,134	$1,240.20	$371.35 – $3,644.19
Gallbladder removal by laparoscope: 10 of 82 insurance plan rates Aetna — Choice POS & Health Network Option: $1,202.49 Aetna — Medicare HMO, PPO, & NAP: $371.35 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $1,202.49 Aetna — Workers Comp: $1,202.49 Aetna Better Health — Medicaid: $647.90 AXA/HAA Preferred Partners — PPO: $2,480.40 BCBS — Access Community Health Network: $485.39 BCBS — Advocate Health Systems IPA: $943.23 BCBS — Blue Advantage HMO: $1,114.05 BCBS — Blue Choice City of Chicago: $810.29
Gallbladder removal by laparoscope CPT 47562 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR LAP,CHOLECYSTECTOMY	$4,134	$1,240.20	$688.75
Gallbladder removal by laparoscope: rates for 7 insurance plans BCBS — Access Community Health Network: $412.83 BCBS — Blue Choice City of Chicago: $688.75 BCBS — Blue Choice Opt PPO: $688.75 BCBS — Unite Here Health: $688.75 Humboldt Park Health Partners — All Products: $412.83 Physicians Health Association of IL — All Products: $412.83 Resurrection Phys Provider Group — All Products: $412.83
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR LAP,CHOLECYSTECTOMY	$4,134	$1,240.20	$810.29
Gallbladder removal by laparoscope: rates for 7 insurance plans BCBS — Access Community Health Network: $485.68 BCBS — Blue Choice City of Chicago: $810.29 BCBS — Blue Choice Opt PPO: $810.29 BCBS — Unite Here Health: $810.29 Humboldt Park Health Partners — All Products: $485.68 Physicians Health Association of IL — All Products: $485.68 Resurrection Phys Provider Group — All Products: $485.68
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Doctor (professional) fee In the file: PR REPAIR ING HERNIA,5+Y/O,REDUCIBL	$3,265	$979.50	$234.96 – $3,265
Groin (inguinal) hernia repair, age 5 or older: 10 of 82 insurance plan rates Aetna — Choice POS & Health Network Option: $949.46 Aetna — Medicare HMO, PPO, & NAP: $293.70 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $949.46 Aetna — Workers Comp: $949.46 Aetna Better Health — Medicaid: $387.05 AXA/HAA Preferred Partners — PPO: $1,959 BCBS — Access Community Health Network: $383.89 BCBS — Advocate Health Systems IPA: $745.99 BCBS — Blue Advantage HMO: $881.09 BCBS — Blue Choice City of Chicago: $644.11
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR REPAIR ING HERNIA,5+Y/O,REDUCIBL	$3,265	$979.50	$327.28 – $547.49
Groin (inguinal) hernia repair, age 5 or older: rates for 8 insurance plans BCBS — Access Community Health Network: $327.28 BCBS — Blue Choice City of Chicago: $547.49 BCBS — Blue Choice Opt PPO: $547.49 BCBS — Unite Here Health: $547.49 Humboldt Park Health Partners — All Products: $327.28 Physicians Health Association of IL — All Products: $327.28 Resurrection Phys Provider Group — All Products: $327.28 Union Health Service — All Products: $396.49
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR REPAIR ING HERNIA,5+Y/O,REDUCIBL	$3,265	$979.50	$352.44 – $644.11
Groin (inguinal) hernia repair, age 5 or older: rates for 8 insurance plans BCBS — Access Community Health Network: $385.04 BCBS — Blue Choice City of Chicago: $644.11 BCBS — Blue Choice Opt PPO: $644.11 BCBS — Unite Here Health: $644.11 Humboldt Park Health Partners — All Products: $385.04 Physicians Health Association of IL — All Products: $385.04 Resurrection Phys Provider Group — All Products: $385.04 Union Health Service — All Products: $352.44
Prostate biopsy CPT 55700 · Inpatient or outpatient · Doctor (professional) fee In the file: HC Biopsy of ProstateNeedle/Punch	$765	$229.50	$67.89 – $491.99
Prostate biopsy: 10 of 82 insurance plan rates Aetna — Choice POS & Health Network Option: $241.91 Aetna — Medicare HMO, PPO, & NAP: $67.89 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $241.91 Aetna — Workers Comp: $241.91 Aetna Better Health — Medicaid: $113.60 AXA/HAA Preferred Partners — PPO: $459 BCBS — Access Community Health Network: $120.13 BCBS — Advocate Health Systems IPA: $172.43 BCBS — Blue Advantage HMO: $203.66 BCBS — Blue Choice City of Chicago: $161.18
Prostate biopsy CPT 55700 · Inpatient (hospital stay) · Doctor (professional) fee In the file: HC Biopsy of ProstateNeedle/Punch	$765	$229.50	$84.86 – $161.18
Prostate biopsy: 10 of 55 insurance plan rates Aetna — Choice POS & Health Network Option: $241.91 Aetna — Medicare HMO, PPO, & NAP: $67.89 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $241.91 Aetna — Workers Comp: $241.91 BCBS — Access Community Health Network: $120.13 BCBS — Advocate Health Systems IPA: $172.43 BCBS — Blue Advantage HMO: $203.66 BCBS — Blue Choice City of Chicago: $161.18 BCBS — Blue Choice Opt PPO: $161.18 BCBS — PPO: $240.26
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: HC Biopsy of ProstateNeedle/Punch	$765	$229.50	$154.14 – $292.78
Prostate biopsy: 10 of 55 insurance plan rates Aetna — Choice POS & Health Network Option: $462.08 Aetna — Medicare HMO, PPO, & NAP: $123.31 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $462.08 Aetna — Workers Comp: $462.08 BCBS — Access Community Health Network: $218.21 BCBS — Advocate Health Systems IPA: $313.21 BCBS — Blue Advantage HMO: $369.93 BCBS — Blue Choice City of Chicago: $292.78 BCBS — Blue Choice Opt PPO: $292.78 BCBS — PPO: $436.42
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient or outpatient · Doctor (professional) fee In the file: PR LAP,PROSTATECTOMY,RADICAL,W/NERVE SPARE,INCL ROBOTIC	$8,489	$2,546.70	$629.94 – $5,659.67
Prostate removal by laparoscope (radical prostatectomy): 10 of 82 insurance plan rates Aetna — Choice POS & Health Network Option: $2,686.24 Aetna — Medicare HMO, PPO, & NAP: $629.94 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $2,686.24 Aetna — Workers Comp: $2,686.24 Aetna Better Health — Medicaid: $990.55 AXA/HAA Preferred Partners — PPO: $5,093.40 BCBS — Access Community Health Network: $1,114.73 BCBS — Advocate Health Systems IPA: $1,600.05 BCBS — Blue Advantage HMO: $1,889.82 BCBS — Blue Choice City of Chicago: $1,495.66
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR LAP,PROSTATECTOMY,RADICAL,W/NERVE SPARE,INCL ROBOTIC	$8,489	$2,546.70	$850.42
Prostate removal by laparoscope (radical prostatectomy): rates for 1 insurance plan Union Health Service — All Products: $850.42
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR LAP,PROSTATECTOMY,RADICAL,W/NERVE SPARE,INCL ROBOTIC	$8,489	$2,546.70	$755.93
Prostate removal by laparoscope (radical prostatectomy): rates for 1 insurance plan Union Health Service — All Products: $755.93
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Doctor (professional) fee In the file: HC HysteroscopyW/Endo Bx	$1,396	$418.80	$125.17 – $1,396
Hysteroscopy with biopsy of the uterus lining: 10 of 82 insurance plan rates Aetna — Choice POS & Health Network Option: $397.13 Aetna — Medicare HMO, PPO, & NAP: $125.17 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $397.13 Aetna — Workers Comp: $397.13 Aetna Better Health — Medicaid: $160.70 AXA/HAA Preferred Partners — PPO: $837.60 BCBS — Access Community Health Network: $216.51 BCBS — Advocate Health Systems IPA: $317.93 BCBS — Blue Advantage HMO: $375.51 BCBS — Blue Choice City of Chicago: $280.41
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Hysteroscopy,W/Endo Bx	$7,909	$2,372.70	$2,348.97 – $6,722.65
Hysteroscopy with biopsy of the uterus lining: 10 of 59 insurance plan rates Aetna — Workers Comp: $4,207.59 Aetna Better Health — Medicaid: $5,404.69 AXA/HAA Preferred Partners — PPO: $4,745.40 BCBS — Access Community Health Network: $2,467.61 BCBS — Advocate Health Systems IPA: $2,467.61 BCBS — Blue Advantage HMO: $2,467.61 BCBS — Blue Choice City of Chicago: $3,250.60 BCBS — Blue Choice Opt PPO: $3,448.32 BCBS — Blue Precision HMO: $2,348.97 BCBS — HMO of Illinois: $2,467.61
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient (hospital stay) · Doctor (professional) fee In the file: HC HysteroscopyW/Endo Bx	$1,396	$418.80	$156.47 – $280.41
Hysteroscopy with biopsy of the uterus lining: 10 of 55 insurance plan rates Aetna — Choice POS & Health Network Option: $397.13 Aetna — Medicare HMO, PPO, & NAP: $125.17 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $397.13 Aetna — Workers Comp: $397.13 BCBS — Access Community Health Network: $216.51 BCBS — Advocate Health Systems IPA: $317.93 BCBS — Blue Advantage HMO: $375.51 BCBS — Blue Choice City of Chicago: $280.41 BCBS — Blue Choice Opt PPO: $280.41 BCBS — PPO: $433.02
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Doctor (professional) fee In the file: HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn	$579	$173.70	$51.41 – $579
Spinal injection, lower back (epidural), with imaging guidance: 10 of 82 insurance plan rates Aetna — Choice POS & Health Network Option: $164.54 Aetna — Medicare HMO, PPO, & NAP: $51.41 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $164.54 Aetna — Workers Comp: $164.54 Aetna Better Health — Medicaid: $67.44 AXA/HAA Preferred Partners — PPO: $347.40 BCBS — Access Community Health Network: $77.23 BCBS — Advocate Health Systems IPA: $130.58 BCBS — Blue Advantage HMO: $154.23 BCBS — Blue Choice City of Chicago: $119.20
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn	$2,018	$605.40	$599.35 – $2,385
Spinal injection, lower back (epidural), with imaging guidance: 10 of 61 insurance plan rates Aetna — Workers Comp: $1,073.58 Aetna Better Health — Medicaid: $1,776.51 AXA/HAA Preferred Partners — PPO: $1,210.80 BCBS — Access Community Health Network: $629.62 BCBS — Advocate Health Systems IPA: $629.62 BCBS — Blue Advantage HMO: $629.62 BCBS — Blue Choice City of Chicago: $829.40 BCBS — Blue Choice Opt PPO: $879.85 BCBS — Blue Precision HMO: $599.35 BCBS — HMO of Illinois: $629.62
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Doctor (professional) fee In the file: HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn	$579	$173.70	$59.92 – $119.20
Spinal injection, lower back (epidural), with imaging guidance: 10 of 58 insurance plan rates Aetna — Choice POS & Health Network Option: $257.03 Aetna — Medicare HMO, PPO, & NAP: $51.41 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $257.03 Aetna — Workers Comp: $164.54 Aetna Better Health — Medicaid: $59.92 BCBS — Access Community Health Network: $77.23 BCBS — Advocate Health Systems IPA: $130.58 BCBS — Blue Advantage HMO: $154.23 BCBS — Blue Choice City of Chicago: $119.20 BCBS — Blue Choice Opt PPO: $119.20
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Doctor (professional) fee In the file: HC Inject Anes/Steroid Foramen Lumbar/Sacral W Img Guide 1 Level	$648	$194.40	$57.18 – $638.37
Nerve root injection, lower back, with imaging guidance: 10 of 82 insurance plan rates Aetna — Choice POS & Health Network Option: $184.32 Aetna — Medicare HMO, PPO, & NAP: $57.18 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $184.32 Aetna — Workers Comp: $184.32 Aetna Better Health — Medicaid: $88.25 AXA/HAA Preferred Partners — PPO: $388.80 BCBS — Access Community Health Network: $85.89 BCBS — Advocate Health Systems IPA: $145.24 BCBS — Blue Advantage HMO: $171.54 BCBS — Blue Choice City of Chicago: $132.58
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Doctor (professional) fee In the file: HC Inject Anes/Steroid Foramen Lumbar/Sacral W Img Guide 1 Level	$648	$194.40	$71.48 – $132.58
Nerve root injection, lower back, with imaging guidance: 10 of 61 insurance plan rates Aetna — Choice POS & Health Network Option: $240.07 Aetna — Medicare HMO, PPO, & NAP: $57.18 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $240.07 Aetna — Workers Comp: $184.32 Aetna Better Health — Medicaid: $85.87 BCBS — Access Community Health Network: $85.89 BCBS — Advocate Health Systems IPA: $145.24 BCBS — Blue Advantage HMO: $171.54 BCBS — Blue Choice City of Chicago: $132.58 BCBS — Blue Choice Opt PPO: $132.58
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: HC Inject Anes/Steroid Foramen Lumbar/Sacral W Img Guide 1 Level	$648	$194.40	$88.25 – $284.88
Nerve root injection, lower back, with imaging guidance: 10 of 61 insurance plan rates Aetna — Choice POS & Health Network Option: $410.52 Aetna — Medicare HMO, PPO, & NAP: $122.87 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $410.52 Aetna — Workers Comp: $410.52 Aetna Better Health — Medicaid: $88.25 BCBS — Access Community Health Network: $184.56 BCBS — Advocate Health Systems IPA: $312.08 BCBS — Blue Advantage HMO: $368.60 BCBS — Blue Choice City of Chicago: $284.88 BCBS — Blue Choice Opt PPO: $284.88
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Doctor (professional) fee In the file: PR REVISE MEDIAN N/CARPAL TUNNEL SURG	$2,618	$785.40	$237.84 – $2,079.17
Carpal tunnel release: 10 of 82 insurance plan rates Aetna — Choice POS & Health Network Option: $744.76 Aetna — Medicare HMO, PPO, & NAP: $237.84 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $744.76 Aetna — Workers Comp: $744.76 Aetna Better Health — Medicaid: $429.10 AXA/HAA Preferred Partners — PPO: $1,570.80 BCBS — Access Community Health Network: $334.71 BCBS — Advocate Health Systems IPA: $604.11 BCBS — Blue Advantage HMO: $713.52 BCBS — Blue Choice City of Chicago: $551.47
Carpal tunnel release CPT 64721 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR REVISE MEDIAN N/CARPAL TUNNEL SURG	$2,618	$785.40	$297.30 – $551.47
Carpal tunnel release: 10 of 55 insurance plan rates Aetna — Choice POS & Health Network Option: $744.76 Aetna — Medicare HMO, PPO, & NAP: $237.84 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $744.76 Aetna — Workers Comp: $744.76 BCBS — Access Community Health Network: $334.71 BCBS — Advocate Health Systems IPA: $604.11 BCBS — Blue Advantage HMO: $713.52 BCBS — Blue Choice City of Chicago: $551.47 BCBS — Blue Choice Opt PPO: $551.47 BCBS — PPO: $669.41
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR REVISE MEDIAN N/CARPAL TUNNEL SURG	$2,618	$785.40	$302.06 – $560.29
Carpal tunnel release: 10 of 55 insurance plan rates Aetna — Choice POS & Health Network Option: $756.95 Aetna — Medicare HMO, PPO, & NAP: $241.65 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $756.95 Aetna — Workers Comp: $756.95 BCBS — Access Community Health Network: $340.06 BCBS — Advocate Health Systems IPA: $613.78 BCBS — Blue Advantage HMO: $724.94 BCBS — Blue Choice City of Chicago: $560.29 BCBS — Blue Choice Opt PPO: $560.29 BCBS — PPO: $680.12
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · Doctor (professional) fee In the file: HC Discission2nd CataractLaser	$1,654	$496.20	$156.02 – $1,285.79
Laser treatment of clouding after cataract surgery: 10 of 82 insurance plan rates Aetna — Choice POS & Health Network Option: $613.55 Aetna — Medicare HMO, PPO, & NAP: $156.02 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $613.55 Aetna — Workers Comp: $613.55 Aetna Better Health — Medicaid: $291.12 AXA/HAA Preferred Partners — PPO: $992.40 BCBS — Access Community Health Network: $247.68 BCBS — Advocate Health Systems IPA: $396.28 BCBS — Blue Advantage HMO: $468.05 BCBS — Blue Choice City of Chicago: $349.51
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Discission,2nd Cataract,Laser	$1,870	$561	$555.39 – $2,385
Laser treatment of clouding after cataract surgery: 10 of 59 insurance plan rates Aetna — Workers Comp: $994.84 Aetna Better Health — Medicaid: $1,323.28 AXA/HAA Preferred Partners — PPO: $1,122 BCBS — Access Community Health Network: $583.44 BCBS — Advocate Health Systems IPA: $583.44 BCBS — Blue Advantage HMO: $583.44 BCBS — Blue Choice City of Chicago: $768.57 BCBS — Blue Choice Opt PPO: $815.32 BCBS — Blue Precision HMO: $555.39 BCBS — HMO of Illinois: $583.44
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient (hospital stay) · Doctor (professional) fee In the file: HC Discission2nd CataractLaser	$1,654	$496.20	$195.02 – $349.51
Laser treatment of clouding after cataract surgery: 10 of 55 insurance plan rates Aetna — Choice POS & Health Network Option: $613.55 Aetna — Medicare HMO, PPO, & NAP: $156.02 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $613.55 Aetna — Workers Comp: $613.55 BCBS — Access Community Health Network: $247.68 BCBS — Advocate Health Systems IPA: $396.28 BCBS — Blue Advantage HMO: $468.05 BCBS — Blue Choice City of Chicago: $349.51 BCBS — Blue Choice Opt PPO: $349.51 BCBS — PPO: $495.35
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient · Doctor (professional) fee In the file: PR XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP	$4,027	$1,208.10	$273.83 – $2,924.28
Cataract removal with lens implant: 10 of 82 insurance plan rates Aetna — Choice POS & Health Network Option: $1,069.52 Aetna — Medicare HMO, PPO, & NAP: $273.83 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $1,069.52 Aetna — Workers Comp: $1,069.52 Aetna Better Health — Medicaid: $511.61 AXA/HAA Preferred Partners — PPO: $2,416.20 BCBS — Access Community Health Network: $445.87 BCBS — Advocate Health Systems IPA: $695.52 BCBS — Blue Advantage HMO: $821.48 BCBS — Blue Choice City of Chicago: $613.42

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Inpatient or outpatient · Doctor (professional) fee In the file: PR FULL ROUT OBSTE CARE,VAGINAL DELIV	$14,901	$4,470.30	$1,357.14 – $3,658.57
Vaginal delivery, with care before and after: 10 of 82 insurance plan rates Aetna — Choice POS & Health Network Option: $3,871 Aetna — Medicare HMO, PPO, & NAP: $1,357.14 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $3,871 Aetna — Workers Comp: $3,871 Aetna Better Health — Medicaid: $1,840.25 AXA/HAA Preferred Partners — PPO: $8,940.60 BCBS — Access Community Health Network: $1,676.72 BCBS — Advocate Health Systems IPA: $3,447.14 BCBS — Blue Advantage HMO: $4,071.42 BCBS — Blue Choice City of Chicago: $2,927.71
Vaginal delivery, with care before and after CPT 59400 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR FULL ROUT OBSTE CARE,VAGINAL DELIV	$14,901	$4,470.30	$1,153.57 – $2,488.55
Vaginal delivery, with care before and after: 10 of 45 insurance plan rates Aetna — Choice POS & Health Network Option: $3,290.35 Aetna — Medicare HMO, PPO, & NAP: $1,153.57 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $3,290.35 BCBS — Advocate Health Systems IPA: $2,930.07 BCBS — Blue Choice City of Chicago: $2,488.55 BCBS — Blue Choice Opt PPO: $2,488.55 BCBS — PPO: $2,850.42 BCBS — Unite Here Health: $2,488.55 Campus Care — All Products: $1,730.36 Caterpillar — EPO: $2,850.42
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR FULL ROUT OBSTE CARE,VAGINAL DELIV	$14,901	$4,470.30	$1,357.14 – $2,927.71
Vaginal delivery, with care before and after: 10 of 45 insurance plan rates Aetna — Choice POS & Health Network Option: $3,871 Aetna — Medicare HMO, PPO, & NAP: $1,357.14 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $3,871 BCBS — Advocate Health Systems IPA: $3,447.14 BCBS — Blue Choice City of Chicago: $2,927.71 BCBS — Blue Choice Opt PPO: $2,927.71 BCBS — PPO: $3,353.44 BCBS — Unite Here Health: $2,927.71 Campus Care — All Products: $2,035.71 Caterpillar — EPO: $3,353.44
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient · Doctor (professional) fee In the file: PR FULL ROUT OBSTE CARE,CESAREAN DELIV	$16,591	$4,977.30	$1,525.66 – $4,301.69
Cesarean delivery (C-section), with care before and after: 10 of 82 insurance plan rates Aetna — Choice POS & Health Network Option: $4,353 Aetna — Medicare HMO, PPO, & NAP: $1,525.66 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $4,353 Aetna — Workers Comp: $4,353 Aetna Better Health — Medicaid: $2,046.31 AXA/HAA Preferred Partners — PPO: $9,954.60 BCBS — Access Community Health Network: $1,811.18 BCBS — Advocate Health Systems IPA: $3,875.18 BCBS — Blue Advantage HMO: $4,576.98 BCBS — Blue Choice City of Chicago: $3,291.25
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ROUT OB CARE,VAG DELIV,PREV C-SEC	$15,720	$4,716	$650 – $15,720
Vaginal delivery after a previous C-section, with care before and after: 10 of 82 insurance plan rates Aetna — Choice POS & Health Network Option: $4,050 Aetna — Medicare HMO, PPO, & NAP: $1,440.98 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $4,050 Aetna — Workers Comp: $4,050 Aetna Better Health — Medicaid: $1,938.17 AXA/HAA Preferred Partners — PPO: $9,432 BCBS — Access Community Health Network: $2,166.38 BCBS — Advocate Health Systems IPA: $3,660.09 BCBS — Blue Advantage HMO: $4,322.94 BCBS — Blue Choice City of Chicago: $3,108.57
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR ROUT OB CARE,VAG DELIV,PREV C-SEC	$15,720	$4,716	$979.87 – $3,682.85
Vaginal delivery after a previous C-section, with care before and after: 10 of 45 insurance plan rates Aetna — Choice POS & Health Network Option: $3,442.50 Aetna — Medicare HMO, PPO, & NAP: $1,224.84 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $3,442.50 BCBS — Advocate Health Systems IPA: $3,111.08 BCBS — Blue Choice City of Chicago: $2,642.28 BCBS — Blue Choice Opt PPO: $2,642.28 BCBS — PPO: $3,682.85 BCBS — Unite Here Health: $2,642.28 Campus Care — All Products: $1,837.25 Caterpillar — EPO: $3,682.85
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR ROUT OB CARE,VAG DELIV,PREV C-SEC	$15,720	$4,716	$1,152.79 – $4,648.19
Vaginal delivery after a previous C-section, with care before and after: 10 of 45 insurance plan rates Aetna — Choice POS & Health Network Option: $4,050 Aetna — Medicare HMO, PPO, & NAP: $1,440.98 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $4,050 BCBS — Advocate Health Systems IPA: $3,660.09 BCBS — Blue Choice City of Chicago: $3,108.57 BCBS — Blue Choice Opt PPO: $3,108.57 BCBS — PPO: $4,332.76 BCBS — Unite Here Health: $3,108.57 Campus Care — All Products: $2,161.47 Caterpillar — EPO: $4,332.76

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	$382,275.65	$114,682.69	$708 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $225,804.69
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 75 insurance plan rates Aetna — Choice POS & Health Network Option: $48,318 Aetna — HMO & POS: $48,318 Aetna — Medicare HMO, PPO, & NAP: $124,414.65 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $45,500 Aetna — Workers Comp: $205,277 Aetna Better Health — MMAI Dual Eligibility: $124,414.65 BCBS — Access Community Health Network: $6,526.48 BCBS — Advocate Health Systems IPA: $6,526.48 BCBS — Blue Advantage HMO: $6,526.48 BCBS — Blue Choice City of Chicago: $4,179.54
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	$98,963.96	$29,689.19	$708 – $30,569.48
Hip or knee replacement (major joint of the leg), without major complications: 10 of 75 insurance plan rates Aetna — Choice POS & Health Network Option: $2,347 Aetna — HMO & POS: $2,347 Aetna — Medicare HMO, PPO, & NAP: $26,402.56 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $2,602 Aetna — Workers Comp: $27,790.43 Aetna Better Health — MMAI Dual Eligibility: $26,402.56 BCBS — Access Community Health Network: $3,012.03 BCBS — Advocate Health Systems IPA: $3,012.03 BCBS — Blue Advantage HMO: $3,012.03 BCBS — Blue Choice City of Chicago: $2,024.64
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	$87,711.86	$26,313.56	$708 – $34,436.85
Neck (cervical) spinal fusion, without complications: 10 of 75 insurance plan rates Aetna — Choice POS & Health Network Option: $2,804 Aetna — HMO & POS: $2,804 Aetna — Medicare HMO, PPO, & NAP: $32,797 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $3,122 Aetna — Workers Comp: $25,017.56 Aetna Better Health — MMAI Dual Eligibility: $32,797 BCBS — Access Community Health Network: $4,103.25 BCBS — Advocate Health Systems IPA: $4,103.25 BCBS — Blue Advantage HMO: $4,103.25 BCBS — Blue Choice City of Chicago: $2,272.99
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	$49,211.80	$14,763.54	$708 – $18,704.93
Uterus and ovary surgery (not for cancer), without complications: 10 of 75 insurance plan rates Aetna — Choice POS & Health Network Option: $2,347 Aetna — HMO & POS: $2,347 Aetna — Medicare HMO, PPO, & NAP: $17,814.22 Aetna — ST of IL QCHP, Aexcel, Coventry PPO & First Health Network S: $2,602 Aetna Better Health — MMAI Dual Eligibility: $17,814.22 BCBS — Access Community Health Network: $3,012.03 BCBS — Advocate Health Systems IPA: $3,012.03 BCBS — Blue Advantage HMO: $3,012.03 BCBS — Blue Choice City of Chicago: $2,024.64 BCBS — Blue Choice Opt PPO: $1,987.17

Source: University of Illinois Hospital and Clinics’s standard charges file (hospital.uillinois.edu, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	1740 West Taylor St Suite 1400, Chicago, IL 60612
County	Cook County
State	Illinois
Phone	(312) 996‑3900
Emergency services	Yes
Ownership	Government - State
Medicare overall rating	4 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	140150
Name in Medicare records	UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS
Profile level	Medicare data + hospital website
Name on the hospital’s website	University of Illinois Hospital
Official website	hospital.uillinois.edu
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.

University of Illinois Hospital | UI Health — hospital.uillinois.edu
Imaging and Diagnostic Services | UI Health — hospital.uillinois.edu