CMS Price Transparency Data

Diagnostic procedure preparation

Facility: Clay County Hospital

Billing Code: G0279 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$33
about 0.8× the $40 Medicare rate · typically $14–$99
modeled estimate · not a bill or quote
What this hospital charges insurers
$30
About the fair price
about $3 under the fair price · 0.8× Medicare
Medicare pays $40 Fair price $33 This hospital $30

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

Highest price of the 9 IL hospitals we have prices for — worth calling around.

Cheapest $12 Priciest $30

Black dot = this hospital, among the 9 IL hospitals with a price for this procedure. Full list below.

A fair price for a Diagnostic procedure preparation is about $33 (about 0.8× the $40 Medicare rate). Clay County Hospital charges insurers about $30 — about the fair price. Located in Flora, IL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $63 156%
Blue Cross Blue Shieldmajor $15 - $45 37%
Aetnamajor $12 - $39 30%

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Facility Profile & Credentials

  • Address: 911 Stacy Burk Dr, Flora, IL 62839
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals