Vandalia, IL
33
In-network payers
174
Disclosed rate categories
110
Beds
Fayette County Hospital is a 110-bed voluntary non-profit - other hospital in Vandalia, IL. Below you'll find publicly disclosed negotiated rates and facility details, including 33 in-network payers and 174 disclosed rate categories.
CCN (Medicare provider number)
141346
NPI
1912988734
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Other
Beds
110
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Fayette County Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$335 - $5,635
from 4 insurers · median $4,011
Typical for a hospital with this service line
CT imaging
CPT 74176
$156 - $4,416
from 3 insurers · median $2,639
Typical for a hospital with this service line
MRI imaging
CPT 70553
$590 - $6,149
from 4 insurers · median $4,394
Typical for a hospital with this service line
CT imaging
CPT 70450
$116 - $1,335
from 2 insurers · median $725
Typical for a hospital with this service line
CT imaging
CPT 71260
$183 - $3,084
from 4 insurers · median $2,208
Typical for a hospital with this service line
Mammography
CPT 77067
$136 - $371
from 4 insurers · median $313
Typical for a hospital with this service line
Nuclear imaging
CPT 78815
$1,300 - $7,529
from 4 insurers · median $5,294
Hospital reports pet scan services to CMS
MRI imaging
CPT 72148
$354 - $4,245
from 4 insurers · median $3,027
Typical for a hospital with this service line
MRI imaging
CPT 73721
$374 - $4,032
from 4 insurers · median $3,792
Typical for a hospital with this service line
MRI imaging
CPT 74183
$629 - $5,751
from 4 insurers · median $5,409
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$241 - $1,348
from 4 insurers · median $694
Typical for a hospital with this service line
Ultrasound
CPT 76705
$93 - $1,251
from 4 insurers · median $730
Typical for a hospital with this service line
Medicine & Surgery · Inpatient
MS-DRG 470
$24,491 - $25,068
from 2 insurers · median $24,779
Hospital reports orthopedic surgery services to CMS
X-ray and bone density
CPT 71046
$30 - $478
from 4 insurers · median $160
Typical for a hospital with this service line
Ultrasound
CPT 76856
$112 - $1,364
from 4 insurers · median $811
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$395 - $1,433
from 3 insurers · median $698
Typical for a hospital with this service line
Medicine & Surgery · Inpatient
MS-DRG 743
$12,282 - $15,381
from 2 insurers · median $13,832
Hospital reports inpatient surgical services to CMS
Digestive procedures
CPT 43239
$287 - $1,433
from 3 insurers · median $556
Typical for a hospital with this service line
Lung function and sleep
CPT 95811
$767 - $6,067
from 4 insurers · median $4,491
Typical for a hospital with this service line
Ultrasound
CPT 76830
$127 - $1,058
from 4 insurers · median $458
Typical for a hospital with this service line
Ultrasound
CPT 76642
$90 - $902
from 4 insurers · median $378
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$144 - $1,225
from 4 insurers · median $450
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$354 - $1,733
from 4 insurers · median $967
Hospital reports nuclear medicine services to CMS
Laboratory and pathology
CPT 85025
$9 - $132
from 4 insurers · median $80
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 20 | 1081% | 15 | 3 |
| Insurer B* | 24 | 735% | 9 | 10 |
| Insurer C* | 21 | 386% | 9 | 10 |
| Insurer D* | 22 | 102% | 2 | 17 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Fayette County Hospital.
650 West Taylor Street, Vandalia, IL 62471
(618) 283-1231
The nearest hospitals of similar type and size. Their rates are compared with Fayette County Hospital for the same insurers and services above.
Hillsboro Area Hospital
â–² Rates typically 133% higher than Fayette County Hospital (21 services)
Salem Township Hospital
â–¼ Rates typically 11% lower than Fayette County Hospital (22 services)
Pana Community Hospital
â–¼ Rates typically 7% lower than Fayette County Hospital (21 services)
Hshs St. Francis Hospital
â–² Rates typically 44% higher than Fayette County Hospital (24 services)
St. Josephs Hospital-Highland Il
Rates about the same as Fayette County Hospital (24 services)
Community Hospital Of Staunton
â–¼ Rates typically 31% lower than Fayette County Hospital (22 services)
Taylorville Memorial Hospital
Sparta Community Hospital
Franklin Hospital
Washington County Hospital
About Fayette County Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Fayette County Hospital range from $590 to $6,149 across 4 insurers. Blue Cross Blue Shield of Illinois's rate is $6,149. The median at nearby comparable hospitals is $2,645. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Fayette County Hospital range from $335 to $5,635 across 4 insurers. Aetna's rate is $335. The median at nearby comparable hospitals is $2,697. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Fayette County Hospital range from $395 to $1,433 across 3 insurers. Blue Cross Blue Shield of Illinois's rate is $698. The median at nearby comparable hospitals is $558. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Fayette County Hospital range from $136 to $371 across 4 insurers. UnitedHealthcare's rate is $270. The median at nearby comparable hospitals is $413. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Fayette County Hospital range from $24,491 to $25,068 across 2 insurers. Cigna's rate is $25,068. What a patient pays depends on their plan's deductible, coinsurance and network status.
Fayette County Hospital has 110 beds. Facility type: Critical Access Hospital.
Fayette County Hospital is located at 650 West Taylor Street, Vandalia, IL 62471. Its main phone number is (618) 283-1231.
Fayette County Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 141346.
The National Provider Identifier (NPI) on file for Fayette County Hospital is 1912988734.
Fayette County Hospital lists 33 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
174 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers