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Transparent Pricing

At Carle, we are committed to helping you make informed choices about your care. That includes helping you know, in advance, an estimate of how much you will be charged for services and goods and what your estimated out of pocket portion may be.

Beginning January 1, 2021, the U.S. Department of Health & Human Services and the Centers for Medicare & Medicaid Services requires hospitals and health systems to post their "current, standard charges." You can download and view these files here:

PDF files are also available here: 

Most Requested
Estimates

For your convenience, below is a short list of most frequently provided services and their estimated charges. If you have any questions about this information, please give us a call.

Office Visits and Hospital Charges
description of service procedure codes* professional charge** facility charge** total charges
New Patient Visit 99201-99205 $155 - $540 $275 - $540 $430 - $1,080
Established Patient Visit 99212-99215 $135 - $395 $290 - $540 $425 - $935
Physician/Advance Practice Provider Telephone Evaluation99441-99443
$115 - $350
N/A$115 - $350
Initial Hospital Admission99221-99223
$355 - $630
N/A
$355 - $630
Subsequent Hospital
99231-99233
$165 - $365
N/A$165 - $365
Emergency Exam99281-99285
$235 - $1,230
$315 - $2,280
$550 - $3,510
Hospital Discharge
99238-99239 
$255 - $340
N/A$255 - $340
Laboratory and Radiology Services

The charges listed below have a draw fee associated with them called a venipuncture. The charge amount for a venipuncture is $42.00. It is billed as a facility charge.

description of service procedure codes* professional charge** facility charge** total charges
Complete Blood Count (CBC) 85025 N/A $222 $222
Complete Metabolic Panel (CMP) 80053 N/A $372 $372
Lipid Panel 80061 N/A $354 $354
Tuberculosis Test Cell Immune Measure (TB) 86480 N/A $543 $543
Hemoglobin; glycosylated (A1C) 83036 N/A $233 $233
Chest X-ray
71045-71046
8471045
8471046
$105 - $125
$460
$565 - $585
EKG93010
93005
8293005
$214$360$444
COVID-19 Test87635 or U0004N/A$175$175
Mammograms
description of service procedure codes* professional charge** facility charge** total charges
Bilateral Screening - Digital 77067, with 3D Tomography 77063
8477063
8477067
$890 $1,290 $2,180
Bilateral Diagnostic - Digital 77066, with 3D Tomography G0279
8477066
8477062
$950 $1,380 $2,330
Colonoscopy
description of service procedure codes* professional charge** facility charge** total charges
Diagnostic Outpatient 45378
8245378
$2,470 $2,680 $5,150
Magnetic Resonance Imaging (MRI)
description of service procedure codes* professional charge** facility charge** total charges
Head - without contrast 70551
8470551
$1,720 $3,850 $5,570
Head - imaging performed no contrast followed by with contrast 70553
8470553
$2,340 $6,310 $8,650

*Each service has a unique procedure code that is associated with the description and cost of the service or procedure performed. These codes are used nationally and help ensure consistency in the billing and reimbursement process. The codes are used to communicate to insurance companies.

The charges listed above are reflective of our most common services provided and are predominantly provided in a hospital provider based setting. In most instances, there will be a bill from Carle Physician Group for "professional charges" as well as a bill from Carle Foundation Hospital for "facility charges". Provider Based Billing is an established nationally-recognized billing model for hospitals and clinics that complies with Medicare regulations. Most insurance companies are familiar with provider based bills and pay claims accordingly.