Mount Carmel, IL
30
In-network payers
185
Disclosed rate categories
25
Beds
4
Care quality
Wabash General Hospital is a 25-bed government - hospital district or authority hospital in Mount Carmel, IL. Below you'll find publicly disclosed negotiated rates and facility details, including 30 in-network payers and 185 disclosed rate categories.
CCN (Medicare provider number)
141327
NPI
1194728808
Type
Critical Access Hospital
Ownership
Government - Hospital District Or Authority
Beds
25
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 Wabash General 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
$1,536 - $3,324
from 4 insurers · median $2,711
Typical for a hospital with this service line
CT imaging
CPT 74176
$2,626 - $3,785
from 4 insurers · median $3,313
Typical for a hospital with this service line
CT imaging
CPT 70450
$360 - $1,586
from 4 insurers · median $735
Typical for a hospital with this service line
MRI imaging
CPT 70553
$428 - $4,544
from 4 insurers · median $3,010
Typical for a hospital with this service line
CT imaging
CPT 71260
$901 - $2,249
from 4 insurers · median $1,834
Typical for a hospital with this service line
MRI imaging
CPT 72148
$1,387 - $3,579
from 4 insurers · median $3,154
Typical for a hospital with this service line
MRI imaging
CPT 70551
$1,270 - $3,276
from 4 insurers · median $2,887
Typical for a hospital with this service line
Mammography
CPT 77067
$188 - $305
from 4 insurers · median $269
Typical for a hospital with this service line
MRI imaging
CPT 73721
$1,261 - $3,255
from 4 insurers · median $2,830
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$75 - $287
from 4 insurers · median $183
Typical for a hospital with this service line
Ultrasound
CPT 76705
$137 - $732
from 4 insurers · median $634
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$675 - $973
from 4 insurers · median $858
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$2,979
negotiated rate
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$1,413 - $2,109
from 4 insurers · median $1,721
Hospital reports nuclear medicine services to CMS
Laboratory and pathology
CPT 80053
$11 - $207
from 4 insurers · median $137
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$292 - $997
from 4 insurers · median $399
Typical for a hospital with this service line
Ultrasound
CPT 76830
$509 - $733
from 4 insurers · median $637
Typical for a hospital with this service line
X-ray and bone density
CPT 77080
$259 - $571
from 4 insurers · median $466
Typical for a hospital with this service line
Ultrasound
CPT 76856
$437 - $629
from 4 insurers · median $554
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93970
$845 - $1,218
from 4 insurers · median $1,073
Typical for a hospital with this service line
Ultrasound
CPT 76536
$455 - $656
from 4 insurers · median $578
Typical for a hospital with this service line
Lung function and sleep
CPT 95810
$747 - $3,487
from 4 insurers · median $2,844
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93880
$959 - $1,383
from 4 insurers · median $1,202
Typical for a hospital with this service line
Laboratory and pathology
CPT 85025
$8 - $127
from 4 insurers · median $84
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 | 686% | 18 | 3 |
| Insurer B* | 23 | 576% | 14 | 5 |
| Insurer C* | 23 | 494% | 6 | 11 |
| Insurer D* | 24 | 422% | 20 | 4 |
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 Wabash General Hospital.
1418 College Drive, Mount Carmel, IL 62863
(618) 262-8621
The nearest hospitals of similar type and size. Their rates are compared with Wabash General Hospital for the same insurers and services above.
Gibson General Hospital
â–¼ Rates typically 45% lower than Wabash General Hospital (24 services)
Lawrence County Memorial Hospital
â–¼ Rates typically 81% lower than Wabash General Hospital (19 services)
Fairfield Memorial Hospital
â–² Rates typically 79% higher than Wabash General Hospital (23 services)
St. Vincent Warrick Hospital
â–¼ Rates typically 87% lower than Wabash General Hospital (23 services)
Crawford Memorial Hospital
â–² Rates typically 62% higher than Wabash General Hospital (19 services)
Clay County Hospital
â–² Rates typically 16% higher than Wabash General Hospital (24 services)
Osf Saint Paul Medical Center - Mendota
Franklin Hospital
Northwestern Medicine Valley West Hospital
Paris Community Hospital
About Wabash General Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Wabash General Hospital range from $428 to $4,544 across 4 insurers. Blue Cross Blue Shield of Illinois's rate is $4,544. The median at nearby comparable hospitals is $1,424. 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 Wabash General Hospital range from $1,536 to $3,324 across 4 insurers. Aetna's rate is $1,536. The median at nearby comparable hospitals is $2,395. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Wabash General Hospital range from $2,979 to $2,979 across 1 insurers. Aetna's rate is $2,979. The median at nearby comparable hospitals is $892. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Wabash General Hospital range from $188 to $305 across 4 insurers. Cigna's rate is $286. The median at nearby comparable hospitals is $213. What a patient pays depends on their plan's deductible, coinsurance and network status.
Wabash General Hospital has 25 beds. Facility type: Critical Access Hospital.
Wabash General Hospital is located at 1418 College Drive, Mount Carmel, IL 62863. Its main phone number is (618) 262-8621.
Wabash General Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 141327.
The National Provider Identifier (NPI) on file for Wabash General Hospital is 1194728808.
Wabash General Hospital lists 30 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.
185 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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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.
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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