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Hospital Profile Acute Care Hospitals Government - Hospital District or Authority

Mc Donough District Hospital

525 E GRANT ST, Macomb, IL 61455

CMS Overall Rating ★★★☆☆
Factual Overview

Mc Donough District Hospital is a Acute Care Hospitals (Government - Hospital District or Authority) operating in Macomb, IL. Mapped commercial insurance prices across 102 procedures average 2.59x the Medicare baseline. The facility holds a CMS quality rating of 3/5 stars with a patient recommendation score of 58%.

Facility Overview

Setting: rural Bed Count: 45 Beds Teaching Status: Non-Teaching Annual Discharges: 1,035

Patient Experience

Recommendation Rate: 58% High Patient Rating: 68% ER Wait Time (Med): 152 min Readmission Rate: same

Pricing & Transparency

Procedures Mapped: 102 codes Avg Markup vs Medicare: 2.59x Price File In Index: Yes MRF Version: 3.0.0
Procedure & Code Cash Price Actions
Breast lump removal
CPT Code: 19120
 Contact Desk Calc
Total hip replacement
CPT Code: 27130
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Total knee replacement
CPT Code: 27447
 Contact Desk Calc
Bunion correction surgery
CPT Code: 28296
 Contact Desk Calc
Knee arthroscopy with meniscus repair
CPT Code: 29881
 Contact Desk Calc
Blood transfusion
CPT Code: 36430
 $805 Calc
Upper endoscopy with biopsy
CPT Code: 43239
 $1,244 Calc
Colonoscopy (diagnostic)
CPT Code: 45378
 $1,139 Calc
Colonoscopy with biopsy
CPT Code: 45380
 $1,426 Calc
Gallbladder removal (laparoscopic)
CPT Code: 47562
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Inguinal hernia repair
CPT Code: 49505
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Vaginal delivery (full package)
CPT Code: 59400
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C-section delivery (full package)
CPT Code: 59510
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Cataract surgery with lens implant
CPT Code: 66984
 Contact Desk Calc
CT scan, head (no contrast)
CPT Code: 70450
 $592 Calc
CT scan, head (with contrast)
CPT Code: 70460
 $1,053 Calc
CT scan, head (with and without contrast)
CPT Code: 70470
 $945 Calc
CT scan, sinuses
CPT Code: 70486
 $1,159 Calc
MRI, brain (no contrast)
CPT Code: 70551
 $1,405 Calc
MRI, brain (with and without contrast)
CPT Code: 70553
 $2,177 Calc
X-ray, chest (single view)
CPT Code: 71045
 $29 Calc
X-ray, chest (two views)
CPT Code: 71046
 $280 Calc
CT scan, chest (no contrast)
CPT Code: 71250
 $175 Calc
X-ray, neck (cervical spine)
CPT Code: 72040
 $180 Calc
X-ray, lower back
CPT Code: 72110
 $226 Calc
CT scan, neck (cervical spine)
CPT Code: 72125
 $634 Calc
CT scan, lower back (lumbar spine)
CPT Code: 72131
 $722 Calc
MRI, lower back (no contrast)
CPT Code: 72148
 $1,316 Calc
X-ray, pelvis
CPT Code: 72170
 $213 Calc
CT scan, pelvis
CPT Code: 72192
 $600 Calc
X-ray, shoulder
CPT Code: 73030
 $177 Calc
X-ray, hand
CPT Code: 73130
 $178 Calc
X-ray, hip
CPT Code: 73502
 $276 Calc
X-ray, ankle
CPT Code: 73610
 $176 Calc
X-ray, foot
CPT Code: 73630
 $175 Calc
MRI, knee or other leg joint
CPT Code: 73721
 $1,319 Calc
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
 $411 Calc
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
 $2,169 Calc
Ultrasound, thyroid and neck
CPT Code: 76536
 $392 Calc
Ultrasound, abdomen (complete)
CPT Code: 76700
 $413 Calc
Ultrasound, abdomen (limited)
CPT Code: 76705
 $175 Calc
Ultrasound, pelvis
CPT Code: 76856
 $402 Calc
Diagnostic mammogram (both breasts)
CPT Code: 77066
 $248 Calc
Screening mammogram (both breasts)
CPT Code: 77067
 $111 Calc
Blood test, basic metabolic panel
CPT Code: 80048
 $30 Calc
Blood test, comprehensive metabolic panel
CPT Code: 80053
 $50 Calc
Blood test, cholesterol (lipid panel)
CPT Code: 80061
 $15 Calc
Blood test, liver function panel
CPT Code: 80076
 $40 Calc
Urinalysis (automated, with microscopy)
CPT Code: 81001
 $20 Calc
Blood test, amylase
CPT Code: 82150
 $33 Calc
Blood test, vitamin D
CPT Code: 82306
 $106 Calc
Blood test, calcium
CPT Code: 82310
 $22 Calc
Blood test, creatinine (kidney)
CPT Code: 82565
 $25 Calc
Blood test, vitamin B12
CPT Code: 82607
 $59 Calc
Blood test, ferritin (iron stores)
CPT Code: 82728
 $68 Calc
Blood test, glucose (blood sugar)
CPT Code: 82947
 $17 Calc
Blood test, average blood sugar (A1c)
CPT Code: 83036
 $35 Calc
Blood test, lipase
CPT Code: 83690
 $35 Calc
Blood test, magnesium
CPT Code: 83735
 $29 Calc
Blood test, potassium
CPT Code: 84132
 $20 Calc
Blood test, PSA (prostate screen)
CPT Code: 84153
 $65 Calc
Blood test, sodium
CPT Code: 84295
 $18 Calc
Blood test, thyroid (TSH)
CPT Code: 84443
 $56 Calc
Blood test, urea nitrogen (BUN, kidney)
CPT Code: 84520
 $17 Calc
Blood test, hemoglobin
CPT Code: 85018
 $11 Calc
Blood test, complete blood count (CBC)
CPT Code: 85025
 $30 Calc
Blood test, clotting time (PT/INR)
CPT Code: 85610
 $27 Calc
Blood test, clotting time (PTT)
CPT Code: 85730
 $27 Calc
Hepatitis C antibody test
CPT Code: 86803
 $62 Calc
Blood antibody screen
CPT Code: 86850
 $239 Calc
Culture, blood
CPT Code: 87040
 $46 Calc
Culture, bacterial
CPT Code: 87070
 $37 Calc
Psychiatric evaluation (first visit)
CPT Code: 90791
 $193 Calc
Psychotherapy session (45 minutes)
CPT Code: 90834
 $190 Calc
Psychotherapy session (60 minutes)
CPT Code: 90837
 $190 Calc
Family therapy session
CPT Code: 90847
 $190 Calc
Group therapy session
CPT Code: 90853
 $99 Calc
Care planning with family
CPT Code: 90887
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Review of medical records for care
CPT Code: 90889
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Speech therapy (language evaluation)
CPT Code: 92507
 $238 Calc
Speech therapy (group session)
CPT Code: 92508
 Contact Desk Calc
Electrocardiogram (ECG/EKG)
CPT Code: 93000
 Contact Desk Calc
Electrocardiogram (EKG, tracing only)
CPT Code: 93005
 $151 Calc
Echocardiogram (heart ultrasound)
CPT Code: 93306
 $1,114 Calc
Ultrasound, leg veins (duplex)
CPT Code: 93970
 $661 Calc
Breathing treatment (nebulizer)
CPT Code: 94640
 $127 Calc
Sleep study (overnight, in lab)
CPT Code: 95810
 $3,616 Calc
Neurobehavioral status check
CPT Code: 96116
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Psychological testing evaluation
CPT Code: 96136
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Psychological testing by technician
CPT Code: 96138
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Physical therapy (therapeutic exercise)
CPT Code: 97110
 $94 Calc
Physical therapy (neuromuscular re-education)
CPT Code: 97112
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Physical therapy (gait training)
CPT Code: 97116
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Physical therapy (manual therapy)
CPT Code: 97140
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Occupational therapy (therapeutic activities)
CPT Code: 97530
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Occupational therapy (self-care training)
CPT Code: 97535
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Physical therapy (functional capacity test)
CPT Code: 97750
 $48 Calc
Orthotic fitting and training
CPT Code: 97760
 Contact Desk Calc
Prosthetic fitting and training
CPT Code: 97761
 Contact Desk Calc
New patient office visit (30-44 min)
CPT Code: 99203
 $172 Calc
Office visit, established patient (20-29 min)
CPT Code: 99213
 $93 Calc
Office visit, established patient (30-39 min)
CPT Code: 99214
 $118 Calc