CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$219 - $6,362
from 4 insurers ยท median $3,831
Typical for a hospital with this service line
Unitypoint Health ยท Carthage, IL
29
In-network payers
151
Disclosed rate categories
18
Beds
4
Care quality
Memorial Hospital Association is an 18-bed voluntary non-profit - private hospital in Carthage, IL, affiliated with Unitypoint Health. Below you'll find publicly disclosed negotiated rates and facility details, including 29 in-network payers and 151 disclosed rate categories.
CCN (Medicare provider number)
141305
NPI
1730139031
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
18
Care Quality
4
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 Memorial Hospital Association 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
$219 - $6,362
from 4 insurers ยท median $3,831
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$154 - $2,812
from 4 insurers ยท median $1,803
Typical for a hospital with this service line
CT imaging
CPT 71260
$101 - $3,532
from 4 insurers ยท median $2,238
Typical for a hospital with this service line
MRI imaging
CPT 70553
$189 - $5,878
from 4 insurers ยท median $3,558
Typical for a hospital with this service line
CT imaging
CPT 74176
$123 - $4,658
from 3 insurers ยท median $1,373
Typical for a hospital with this service line
CT imaging
CPT 70450
$40 - $956
from 2 insurers ยท median $498
Typical for a hospital with this service line
Mammography
CPT 77067
$109 - $375
from 4 insurers ยท median $315
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$28 - $395
from 4 insurers ยท median $328
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$664 - $6,000
from 4 insurers ยท median $1,912
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$625 - $3,521
from 4 insurers ยท median $2,206
Typical for a hospital with this service line
MRI imaging
CPT 72148
$110 - $3,920
from 4 insurers ยท median $2,456
Typical for a hospital with this service line
MRI imaging
CPT 70551
$114 - $3,920
from 4 insurers ยท median $2,456
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$1,524 - $5,951
from 4 insurers ยท median $5,665
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$379 - $5,064
from 4 insurers ยท median $3,100
Hospital reports nuclear medicine services to CMS
MRI imaging
CPT 74183
$140 - $5,878
from 4 insurers ยท median $3,558
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$595 - $2,619
from 4 insurers ยท median $1,641
Typical for a hospital with this service line
Ultrasound
CPT 76705
$70 - $880
from 4 insurers ยท median $731
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$86 - $1,598
from 4 insurers ยท median $1,133
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$2,211 - $6,633
from 4 insurers ยท median $5,999
Typical for a hospital with this service line
Ultrasound
CPT 76830
$51 - $1,013
from 4 insurers ยท median $809
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93970
$91 - $2,514
from 4 insurers ยท median $1,638
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$346 - $2,410
from 4 insurers ยท median $1,510
Typical for a hospital with this service line
X-ray and bone density
CPT 77080
$32 - $682
from 4 insurers ยท median $566
Typical for a hospital with this service line
Ultrasound
CPT 76856
$87 - $880
from 4 insurers ยท median $731
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* | 23 | 824% | 18 | 2 |
| Insurer B* | 22 | 686% | 16 | 3 |
| Insurer C* | 24 | 433% | 0 | 17 |
| Insurer D* | 24 | 50% | 3 | 21 |
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 Memorial Hospital Association.
1454 North County Road 2050, Carthage, IL 62321
(217) 357-8500
About Memorial Hospital Association's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Memorial Hospital Association range from $189 to $5,878 across 4 insurers. Blue Cross Blue Shield of Illinois's rate is $5,572. The median at nearby comparable hospitals is $3,240. 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 Memorial Hospital Association range from $219 to $6,362 across 4 insurers. Aetna's rate is $219. The median at nearby comparable hospitals is $2,535. 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 Memorial Hospital Association range from $625 to $3,521 across 4 insurers. UnitedHealthcare's rate is $3,239. The median at nearby comparable hospitals is $2,677. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Memorial Hospital Association range from $109 to $375 across 4 insurers. Cigna's rate is $263. The median at nearby comparable hospitals is $197. What a patient pays depends on their plan's deductible, coinsurance and network status.
Memorial Hospital Association has 18 beds. Facility type: Critical Access Hospital.
Memorial Hospital Association is located at 1454 North County Road 2050, Carthage, IL 62321. Its main phone number is (217) 357-8500.
Memorial Hospital Association's CMS Certification Number (CCN), also called its Medicare provider number, is 141305.
The National Provider Identifier (NPI) on file for Memorial Hospital Association is 1730139031.
Memorial Hospital Association is affiliated with Unitypoint Health.
Memorial Hospital Association lists 29 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
151 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.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"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