Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
COLON CA SCRN NOT HI RSK IND
The hospitals that file a Bcbs Il rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.
Filter by billing methodology
Filter by billing class
32 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Blessing Hospital Quincy, IL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $468.46 | $468.46 – $468.46 |
| 2 | Blessing Hospital Quincy, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $468.46 | $468.46 – $468.46 |
| 3 | Blessing Hospital Quincy, IL professional · fee schedule · both | 1 | $569.41 | $410.97 – $727.85 |
| 4 | Deaconess Health System Gibson General Hospital Princeton, IN professional · fee schedule · both | 2 | $172.40 | $165.74 – $179.05 |
| 5 | Deaconess Health System Union County Hospital Morganfield, KY professional · fee schedule · both | 2 | $172.08 | $165.11 – $179.05 |
| 6 | Deaconess Hospital, Inc Newburgh, IN facility · case rate · outpatient | 2 | $913.00 | $913.00 – $913.00 |
| 7 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 3 | $170.18 | $165.74 – $179.05 |
| 8 | Deaconess Hospital, Inc Newburgh, IN facility · fee schedule · outpatient | 2 | $843.64 | $843.64 – $843.64 |
| 9 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 3 | $172.38 | $169.05 – $179.05 |
| 10 | Deaconess Illinois Crossroads Inc Mount Vernon, IL facility · case rate · outpatient | 1 | $950.38 | $950.38 – $950.38 |
| 11 | Deaconess Illinois Crossroads Inc Mount Vernon, IL professional · fee schedule · both | 4 | $288.68 | $174.96 – $400.35 |
| 12 | Deaconess Illinois Union County Hospital Inc Anna, IL professional · fee schedule · both | 4 | $288.68 | $174.96 – $400.35 |
| 13 | Deaconess Regional Healthcare Services Illinois Inc Marion, IL facility · case rate · outpatient | 1 | $950.38 | $950.38 – $950.38 |
| 14 | Deaconess Regional Healthcare Services Illinois Inc Marion, IL professional · fee schedule · both | 3 | $288.68 | $174.96 – $400.35 |
| 15 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CARMEL CARMEL, IN other · outpatient | 1 | $3,868 | $3,868 – $3,868 |
| 16 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CRAWFORDSVILLE CRAWFORDSVILLE, IN other · outpatient | 1 | $4,507 | $4,507 – $4,507 |
| 17 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CROWN POINT CROWN POINT, IN other · outpatient | 1 | $3,234 | $3,234 – $3,234 |
| 18 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN other · outpatient | 1 | $3,868 | $3,868 – $3,868 |
| 19 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH LAFAYETTE LAFAYETTE, IN other · outpatient | 1 | $3,642 | $3,642 – $3,642 |
| 20 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY CITY, IN other · outpatient | 1 | $3,393 | $3,393 – $3,393 |
| 21 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MUNSTER MUNSTER, IN other · outpatient | 1 | $3,328 | $3,328 – $3,328 |
| 22 | FRANCISCAN HEALTH RENSSELAER, INC. RENSSELAER, IN other · outpatient | 1 | $2,257 | $2,257 – $2,257 |
| 23 | Hshs Good Shepherd Hospital Inc Shelbyville, IL percent of total billed charges · outpatientfrom % of charges | 1 | $3,486 | $3,486 – $3,486 |
| 24 | Hshs Holy Family Hospital Inc Greenville, IL percent of total billed charges · outpatientfrom % of charges | 2 | $3,355 | $2,859 – $3,851 |
| 25 | Kirby Medical Center Monticello, IL professional · fee schedule · both | 3 | $126.10 | $67.60 – $174.22 |
← Payers reporting HCPCS G0121 · Snapshot 20261108T203506Z-bb90dbab