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Hospital Profile Critical Access Hospitals Voluntary non-profit - Church

St Joseph's Hospital

12866 TROXLER AVE, Highland, IL 62249

CMS Overall Rating ★★★☆☆
Factual Overview

St Joseph's Hospital is a Critical Access Hospitals (Voluntary non-profit - Church) operating in Highland, IL. Mapped commercial insurance prices across 106 procedures average 9.38x the Medicare baseline. The facility holds a CMS quality rating of 3/5 stars with a patient recommendation score of 75%.

Facility Overview

Setting: urban Bed Count: 25 Beds Teaching Status: Non-Teaching Annual Discharges: 891

Patient Experience

Recommendation Rate: 75% High Patient Rating: 82% ER Wait Time (Med): N/A Readmission Rate: same

Pricing & Transparency

Procedures Mapped: 106 codes Avg Markup vs Medicare: 9.38x Price File In Index: Yes MRF Version: 3.0.0
Procedure & Code Cash Price Actions
Breast lump removal
CPT Code: 19120
 Contact Desk —
Total hip replacement
CPT Code: 27130
 Contact Desk —
Total knee replacement
CPT Code: 27447
 Contact Desk —
Knee arthroscopy with meniscus repair
CPT Code: 29881
 Contact Desk —
Blood transfusion
CPT Code: 36430
 $750 Calc
Digestive disorders treatment (inpatient stay)
MS-DRG Code: 392
 Contact Desk —
Upper endoscopy with biopsy
CPT Code: 43239
 Contact Desk —
Colonoscopy (diagnostic)
CPT Code: 45378
 Contact Desk —
Colonoscopy with biopsy
CPT Code: 45380
 Contact Desk —
Hip or knee replacement (inpatient stay)
MS-DRG Code: 470
 Contact Desk —
Gallbladder removal (laparoscopic)
CPT Code: 47562
 Contact Desk —
Inguinal hernia repair
CPT Code: 49505
 Contact Desk —
Cataract surgery with lens implant
CPT Code: 66984
 Contact Desk —
CT scan, head (no contrast)
CPT Code: 70450
 $1,835 Calc
CT scan, head (with contrast)
CPT Code: 70460
 $1,889 Calc
CT scan, head (with and without contrast)
CPT Code: 70470
 $2,588 Calc
CT scan, sinuses
CPT Code: 70486
 $1,817 Calc
MRI, brain (no contrast)
CPT Code: 70551
 $3,221 Calc
MRI, brain (with and without contrast)
CPT Code: 70553
 $4,523 Calc
X-ray, chest (single view)
CPT Code: 71045
 $342 Calc
X-ray, chest (two views)
CPT Code: 71046
 $396 Calc
CT scan, chest (no contrast)
CPT Code: 71250
 $2,139 Calc
X-ray, neck (cervical spine)
CPT Code: 72040
 $488 Calc
X-ray, lower back
CPT Code: 72110
 $827 Calc
CT scan, neck (cervical spine)
CPT Code: 72125
 $2,484 Calc
CT scan, lower back (lumbar spine)
CPT Code: 72131
 $2,537 Calc
MRI, lower back (no contrast)
CPT Code: 72148
 $3,208 Calc
X-ray, pelvis
CPT Code: 72170
 $404 Calc
CT scan, pelvis
CPT Code: 72192
 $2,088 Calc
X-ray, shoulder
CPT Code: 73030
 $447 Calc
X-ray, hand
CPT Code: 73130
 $436 Calc
X-ray, hip
CPT Code: 73502
 $221 Calc
X-ray, ankle
CPT Code: 73610
 $426 Calc
X-ray, foot
CPT Code: 73630
 $446 Calc
MRI, knee or other leg joint
CPT Code: 73721
 $2,946 Calc
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
 $4,477 Calc
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
 $5,075 Calc
Ultrasound, thyroid and neck
CPT Code: 76536
 $985 Calc
Ultrasound, abdomen (complete)
CPT Code: 76700
 $1,392 Calc
Ultrasound, abdomen (limited)
CPT Code: 76705
 $1,210 Calc
Ultrasound, pelvis
CPT Code: 76856
 $1,236 Calc
Diagnostic mammogram (both breasts)
CPT Code: 77066
 $529 Calc
Screening mammogram (both breasts)
CPT Code: 77067
 $280 Calc
Blood test, basic metabolic panel
CPT Code: 80048
 $234 Calc
Blood test, comprehensive metabolic panel
CPT Code: 80053
 $152 Calc
Blood test, cholesterol (lipid panel)
CPT Code: 80061
 $122 Calc
Blood test, liver function panel
CPT Code: 80076
 $288 Calc
Urinalysis (automated, with microscopy)
CPT Code: 81001
 $104 Calc
Blood test, amylase
CPT Code: 82150
 $106 Calc
Blood test, vitamin D
CPT Code: 82306
 $84 Calc
Blood test, calcium
CPT Code: 82310
 $89 Calc
Blood test, creatinine (kidney)
CPT Code: 82565
 $79 Calc
Blood test, vitamin B12
CPT Code: 82607
 $163 Calc
Blood test, ferritin (iron stores)
CPT Code: 82728
 $156 Calc
Blood test, glucose (blood sugar)
CPT Code: 82947
 $79 Calc
Blood test, average blood sugar (A1c)
CPT Code: 83036
 $11 Calc
Blood test, lipase
CPT Code: 83690
 $135 Calc
Blood test, magnesium
CPT Code: 83735
 $102 Calc
Blood test, potassium
CPT Code: 84132
 $79 Calc
Blood test, PSA (prostate screen)
CPT Code: 84153
 $145 Calc
Blood test, sodium
CPT Code: 84295
 $79 Calc
Blood test, thyroid (TSH)
CPT Code: 84443
 $72 Calc
Blood test, urea nitrogen (BUN, kidney)
CPT Code: 84520
 $86 Calc
Blood test, hemoglobin
CPT Code: 85018
 $374 Calc
Blood test, complete blood count (CBC)
CPT Code: 85025
 $122 Calc
Blood test, clotting time (PT/INR)
CPT Code: 85610
 $109 Calc
Blood test, clotting time (PTT)
CPT Code: 85730
 $165 Calc
Hepatitis C antibody test
CPT Code: 86803
 $439 Calc
Blood antibody screen
CPT Code: 86850
 $142 Calc
Culture, blood
CPT Code: 87040
 $241 Calc
Culture, bacterial
CPT Code: 87070
 $150 Calc
Sepsis treatment (inpatient stay)
MS-DRG Code: 871
 Contact Desk —
Rabies immune globulin
HCPCS Code: 90375
 $1,176 Calc
Flu vaccine (high dose)
HCPCS Code: 90656
 $72 Calc
Typhoid vaccine
HCPCS Code: 90675
 $1,502 Calc
Psychotherapy session (45 minutes)
CPT Code: 90834
 $154 Calc
Psychotherapy session (60 minutes)
CPT Code: 90837
 $228 Calc
Family therapy session
CPT Code: 90847
 $248 Calc
Group therapy session
CPT Code: 90853
 $116 Calc
Speech therapy (language evaluation)
CPT Code: 92507
 $186 Calc
Electrocardiogram (EKG, tracing only)
CPT Code: 93005
 $327 Calc
Echocardiogram (heart ultrasound)
CPT Code: 93306
 $2,834 Calc
Ultrasound, leg veins (duplex)
CPT Code: 93970
 $1,998 Calc
Breathing treatment (nebulizer)
CPT Code: 94640
 $300 Calc
Sleep study (overnight, in lab)
CPT Code: 95810
 $4,028 Calc
Neurobehavioral status check
CPT Code: 96116
 $397 Calc
Physical therapy (therapeutic exercise)
CPT Code: 97110
 $91 Calc
Physical therapy (neuromuscular re-education)
CPT Code: 97112
 $162 Calc
Physical therapy (gait training)
CPT Code: 97116
 $110 Calc
Physical therapy (manual therapy)
CPT Code: 97140
 $181 Calc
Occupational therapy (therapeutic activities)
CPT Code: 97530
 $85 Calc
Occupational therapy (self-care training)
CPT Code: 97535
 $85 Calc
Orthotic fitting and training
CPT Code: 97760
 $112 Calc
Prosthetic fitting and training
CPT Code: 97761
 $76 Calc
New patient office visit (30-44 min)
CPT Code: 99203
 $310 Calc
Office visit, established patient (20-29 min)
CPT Code: 99213
 $237 Calc
Office visit, established patient (30-39 min)
CPT Code: 99214
 $336 Calc
Flu vaccine injection
HCPCS Code: G0008
 $87 Calc
Pneumonia vaccine injection
HCPCS Code: G0009
 $87 Calc
Colorectal cancer screening
HCPCS Code: G0010
 $87 Calc
Prostate cancer screening (blood test)
HCPCS Code: G0103
 $141 Calc
Injection procedure for pain management
HCPCS Code: G0260
 $1,619 Calc
Diagnostic procedure preparation
HCPCS Code: G0279
 $99 Calc
Electrical stimulation therapy
HCPCS Code: G0283
 $34 Calc
Hospital observation (per hour)
HCPCS Code: G0378
 $56 Calc
Drug screening test
HCPCS Code: G0480
 $174 Calc