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Hospital Profile Critical Access Hospitals Government - Local

Thomas H Boyd Memorial Hospital

800 SCHOOL STREET, Carrollton, IL 62016

CMS Overall Rating No CMS Rating
Factual Overview

Thomas H Boyd Memorial Hospital is a Critical Access Hospitals (Government - Local) operating in Carrollton, IL. Mapped commercial insurance prices across 77 procedures average 5.83x the Medicare baseline. CMS has not published a quality star rating for this facility.

Facility Overview

Setting: rural Bed Count: 25 Beds Teaching Status: Non-Teaching Annual Discharges: 96

Patient Experience

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

Pricing & Transparency

Procedures Mapped: 77 codes Avg Markup vs Medicare: 5.83x Price File In Index: Yes MRF Version: 3.0.0
Procedure & Code Cash Price Actions
Blood transfusion
CPT Code: 36430
 $990 Calc
Digestive disorders treatment (inpatient stay)
MS-DRG Code: 392
 $642 Calc
CT scan, head (no contrast)
CPT Code: 70450
 $922 Calc
CT scan, head (with contrast)
CPT Code: 70460
 $1,013 Calc
CT scan, head (with and without contrast)
CPT Code: 70470
 $1,348 Calc
CT scan, sinuses
CPT Code: 70486
 $934 Calc
MRI, brain (no contrast)
CPT Code: 70551
 $1,470 Calc
MRI, brain (with and without contrast)
CPT Code: 70553
 $4,304 Calc
X-ray, chest (single view)
CPT Code: 71045
 $152 Calc
X-ray, chest (two views)
CPT Code: 71046
 $176 Calc
CT scan, chest (no contrast)
CPT Code: 71250
 $1,001 Calc
X-ray, neck (cervical spine)
CPT Code: 72040
 $197 Calc
X-ray, lower back
CPT Code: 72110
 $314 Calc
CT scan, neck (cervical spine)
CPT Code: 72125
 $1,415 Calc
CT scan, lower back (lumbar spine)
CPT Code: 72131
 $1,090 Calc
MRI, lower back (no contrast)
CPT Code: 72148
 $452 Calc
X-ray, pelvis
CPT Code: 72170
 $168 Calc
CT scan, pelvis
CPT Code: 72192
 $978 Calc
X-ray, shoulder
CPT Code: 73030
 $173 Calc
X-ray, hand
CPT Code: 73130
 $160 Calc
X-ray, hip
CPT Code: 73502
 $162 Calc
X-ray, ankle
CPT Code: 73610
 $143 Calc
X-ray, foot
CPT Code: 73630
 $152 Calc
MRI, knee or other leg joint
CPT Code: 73721
 $2,775 Calc
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
 $1,723 Calc
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
 $1,888 Calc
Ultrasound, thyroid and neck
CPT Code: 76536
 $437 Calc
Ultrasound, abdomen (complete)
CPT Code: 76700
 $573 Calc
Ultrasound, abdomen (limited)
CPT Code: 76705
 $118 Calc
Ultrasound, pelvis
CPT Code: 76856
 $422 Calc
Diagnostic mammogram (both breasts)
CPT Code: 77066
 $237 Calc
Screening mammogram (both breasts)
CPT Code: 77067
 $200 Calc
Blood test, basic metabolic panel
CPT Code: 80048
 $92 Calc
Blood test, comprehensive metabolic panel
CPT Code: 80053
 $235 Calc
Blood test, cholesterol (lipid panel)
CPT Code: 80061
 $136 Calc
Blood test, liver function panel
CPT Code: 80076
 $118 Calc
Urinalysis (automated, with microscopy)
CPT Code: 81001
 $44 Calc
Blood test, amylase
CPT Code: 82150
 $108 Calc
Blood test, vitamin D
CPT Code: 82306
 $336 Calc
Blood test, calcium
CPT Code: 82310
 $85 Calc
Blood test, creatinine (kidney)
CPT Code: 82565
 $70 Calc
Blood test, vitamin B12
CPT Code: 82607
 $111 Calc
Blood test, ferritin (iron stores)
CPT Code: 82728
 $137 Calc
Blood test, glucose (blood sugar)
CPT Code: 82947
 $71 Calc
Blood test, average blood sugar (A1c)
CPT Code: 83036
 $98 Calc
Blood test, lipase
CPT Code: 83690
 $120 Calc
Blood test, magnesium
CPT Code: 83735
 $102 Calc
Blood test, potassium
CPT Code: 84132
 $65 Calc
Blood test, PSA (prostate screen)
CPT Code: 84153
 $204 Calc
Blood test, sodium
CPT Code: 84295
 $64 Calc
Blood test, thyroid (TSH)
CPT Code: 84443
 $160 Calc
Blood test, urea nitrogen (BUN, kidney)
CPT Code: 84520
 $151 Calc
Blood test, hemoglobin
CPT Code: 85018
 $38 Calc
Blood test, complete blood count (CBC)
CPT Code: 85025
 $102 Calc
Blood test, clotting time (PT/INR)
CPT Code: 85610
 $67 Calc
Blood test, clotting time (PTT)
CPT Code: 85730
 $86 Calc
Hepatitis C antibody test
CPT Code: 86803
 $144 Calc
Blood antibody screen
CPT Code: 86850
 $66 Calc
Culture, blood
CPT Code: 87040
 $145 Calc
Culture, bacterial
CPT Code: 87070
 $90 Calc
Psychotherapy session (45 minutes)
CPT Code: 90834
 $807 Calc
Psychotherapy session (60 minutes)
CPT Code: 90837
 $978 Calc
Family therapy session
CPT Code: 90847
 $911 Calc
Group therapy session
CPT Code: 90853
 $978 Calc
Speech therapy (language evaluation)
CPT Code: 92507
 $256 Calc
Electrocardiogram (EKG, tracing only)
CPT Code: 93005
 $218 Calc
Echocardiogram (heart ultrasound)
CPT Code: 93306
 $1,279 Calc
Ultrasound, leg veins (duplex)
CPT Code: 93970
 $763 Calc
Breathing treatment (nebulizer)
CPT Code: 94640
 $77 Calc
Physical therapy (therapeutic exercise)
CPT Code: 97110
 $129 Calc
Physical therapy (neuromuscular re-education)
CPT Code: 97112
 $106 Calc
Physical therapy (gait training)
CPT Code: 97116
 $103 Calc
Physical therapy (manual therapy)
CPT Code: 97140
 $147 Calc
Occupational therapy (therapeutic activities)
CPT Code: 97530
 $110 Calc
Occupational therapy (self-care training)
CPT Code: 97535
 $101 Calc
Physical therapy (functional capacity test)
CPT Code: 97750
 $143 Calc
New patient office visit (30-44 min)
CPT Code: 99203
 $143 Calc