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Hospital Profile Hospital (Part A Provider)

Holy Family Medical Center

100 N RIVER RD, Des Plaines, IL 60016

CMS Overall Rating No CMS Rating
Factual Overview

Holy Family Medical Center is a Hospital (Part A Provider) (ownership unpublished) operating in Des Plaines, IL. Mapped commercial insurance prices across 77 procedures average 1.11x the Medicare baseline. CMS has not published a quality star rating for this facility.

Facility Overview

Setting: N/A Bed Count: N/A Teaching Status: N/A Annual Discharges: N/A

Patient Experience

Recommendation Rate: N/A High Patient Rating: N/A ER Wait Time (Med): N/A Readmission Rate: N/A

Pricing & Transparency

Procedures Mapped: 77 codes Avg Markup vs Medicare: 1.11x Price File In Index: Yes MRF Version: 3.0
Procedure & Code Cash Price Actions
Heart stent placement (inpatient stay)
MS-DRG Code: 322
 $24,697 Calc
Blood transfusion
CPT Code: 36430
 $470 Calc
Digestive disorders treatment (inpatient stay)
MS-DRG Code: 392
 $32,365 Calc
Hip or knee replacement (inpatient stay)
MS-DRG Code: 470
 $35,212 Calc
Cataract surgery with lens implant
CPT Code: 66984
 $2,460 Calc
CT scan, head (no contrast)
CPT Code: 70450
 $111 Calc
CT scan, head (with contrast)
CPT Code: 70460
 $187 Calc
CT scan, head (with and without contrast)
CPT Code: 70470
 $187 Calc
CT scan, sinuses
CPT Code: 70486
 $111 Calc
X-ray, chest (single view)
CPT Code: 71045
 $92 Calc
X-ray, chest (two views)
CPT Code: 71046
 $92 Calc
CT scan, chest (no contrast)
CPT Code: 71250
 $111 Calc
X-ray, neck (cervical spine)
CPT Code: 72040
 $92 Calc
X-ray, lower back
CPT Code: 72110
 $111 Calc
CT scan, neck (cervical spine)
CPT Code: 72125
 $111 Calc
CT scan, lower back (lumbar spine)
CPT Code: 72131
 $111 Calc
X-ray, pelvis
CPT Code: 72170
 $111 Calc
CT scan, pelvis
CPT Code: 72192
 $111 Calc
X-ray, shoulder
CPT Code: 73030
 $92 Calc
X-ray, hand
CPT Code: 73130
 $92 Calc
X-ray, hip
CPT Code: 73502
 $92 Calc
X-ray, ankle
CPT Code: 73610
 $92 Calc
X-ray, foot
CPT Code: 73630
 $92 Calc
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
 $254 Calc
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
 $372 Calc
Ultrasound, thyroid and neck
CPT Code: 76536
 $111 Calc
Ultrasound, abdomen (complete)
CPT Code: 76700
 $111 Calc
Ultrasound, abdomen (limited)
CPT Code: 76705
 $111 Calc
Ultrasound, pelvis
CPT Code: 76856
 $111 Calc
Diagnostic mammogram (both breasts)
CPT Code: 77066
 $111 Calc
Screening mammogram (both breasts)
CPT Code: 77067
 $92 Calc
Blood test, basic metabolic panel
CPT Code: 80048
 $8 Calc
Blood test, comprehensive metabolic panel
CPT Code: 80053
 $10 Calc
Blood test, cholesterol (lipid panel)
CPT Code: 80061
 $13 Calc
Blood test, liver function panel
CPT Code: 80076
 $8 Calc
Urinalysis (automated, with microscopy)
CPT Code: 81001
 $3 Calc
Blood test, amylase
CPT Code: 82150
 $6 Calc
Blood test, vitamin D
CPT Code: 82306
 $29 Calc
Blood test, calcium
CPT Code: 82310
 $5 Calc
Blood test, creatinine (kidney)
CPT Code: 82565
 $5 Calc
Blood test, vitamin B12
CPT Code: 82607
 $15 Calc
Blood test, ferritin (iron stores)
CPT Code: 82728
 $13 Calc
Blood test, glucose (blood sugar)
CPT Code: 82947
 $3 Calc
Blood test, average blood sugar (A1c)
CPT Code: 83036
 $9 Calc
Blood test, lipase
CPT Code: 83690
 $6 Calc
Blood test, magnesium
CPT Code: 83735
 $6 Calc
Blood test, potassium
CPT Code: 84132
 $4 Calc
Blood test, PSA (prostate screen)
CPT Code: 84153
 $18 Calc
Blood test, sodium
CPT Code: 84295
 $4 Calc
Blood test, thyroid (TSH)
CPT Code: 84443
 $16 Calc
Blood test, urea nitrogen (BUN, kidney)
CPT Code: 84520
 $3 Calc
Blood test, hemoglobin
CPT Code: 85018
 $2 Calc
Blood test, complete blood count (CBC)
CPT Code: 85025
 $7 Calc
Blood test, clotting time (PT/INR)
CPT Code: 85610
 $4 Calc
Blood test, clotting time (PTT)
CPT Code: 85730
 $6 Calc
Hepatitis C antibody test
CPT Code: 86803
 $14 Calc
Blood antibody screen
CPT Code: 86850
 $55 Calc
Culture, blood
CPT Code: 87040
 $10 Calc
Culture, bacterial
CPT Code: 87070
 $8 Calc
Sepsis treatment (inpatient stay)
MS-DRG Code: 871
 $43,861 Calc
Speech therapy (language evaluation)
CPT Code: 92507
 $77 Calc
Speech therapy (group session)
CPT Code: 92508
 $24 Calc
Electrocardiogram (EKG, tracing only)
CPT Code: 93005
 $62 Calc
Echocardiogram (heart ultrasound)
CPT Code: 93306
 $582 Calc
Ultrasound, leg veins (duplex)
CPT Code: 93970
 $254 Calc
Breathing treatment (nebulizer)
CPT Code: 94640
 $233 Calc
Physical therapy (therapeutic exercise)
CPT Code: 97110
 $29 Calc
Physical therapy (neuromuscular re-education)
CPT Code: 97112
 $33 Calc
Physical therapy (gait training)
CPT Code: 97116
 $29 Calc
Physical therapy (manual therapy)
CPT Code: 97140
 $28 Calc
Occupational therapy (therapeutic activities)
CPT Code: 97530
 $35 Calc
Occupational therapy (self-care training)
CPT Code: 97535
 $33 Calc
Physical therapy (functional capacity test)
CPT Code: 97750
 $34 Calc
Orthotic fitting and training
CPT Code: 97760
 $46 Calc
New patient office visit (30-44 min)
CPT Code: 99203
 Contact Desk Calc
Office visit, established patient (20-29 min)
CPT Code: 99213
 Contact Desk Calc
Office visit, established patient (30-39 min)
CPT Code: 99214
 Contact Desk Calc