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Passavant Area Hospital

Memorial Health System
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Hospital Overview
Facility Details

CCN

140058

NPI

1174580831

Type

Short Term Acute Care Hospital

Ownership

Voluntary Non-Profit - Private

Beds

131

Contact Information

Address

1600 West Walnut Street

Jacksonville, IL 62650

Phone

(217) 245-9551

Insurance Accepted
Medicare
Medicaid
Aetna
BCBS
Cigna
United (incl Optum)

💡

Important Notice

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.

Price Transparency Contract Information
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💡 The data below comes from CMS-mandated price transparency data. Learn more.

💡 Tip: Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

PayerCategoryCode Type & GroupContract TypeRate Compared to State Average

Aetna

Outpatient

HCPCS

Vision Services

Range: V2020 - V2799

Percentage of Bill Charged

Aetna

Facility

RC

Other Imaging Services

Range: 0400 - 0409

Percentage of Bill Charged

Aetna

Facility

RC

Recovery Room

Range: 0710 - 0719

Percentage of Bill Charged

Aetna

Facility

RC

Audiology

Range: 0470 - 0479

Percentage of Bill Charged

Aetna

Inpatient

MS-DRG

Diseases & Disorders of the Respiratory System

Range: 163 - 208

Percentage of Bill Charged

Aetna

Outpatient

HCPCS

Procedures / Professional Services

Range: G0008 - G9987

Negotiated

Very Low

Aetna

Outpatient

HCPCS

Administrative, Miscellaneous and Investigational

Range: A9150 - A9999

Negotiated

Very Low

Aetna

Outpatient

CPT

Surgery

Range: 10004 - 69990

Percentage of Bill Charged

Aetna

Outpatient

CPT

Category III Codes

Range: 0042T - 0810T

Negotiated

Very Low

Aetna

Outpatient

HCPCS

Medical And Surgical Supplies

Range: A4206 - A8004

Negotiated

Very Low

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