Freeport, IL
1 known revision on file.
| Revision date | Added | Payer-specific rates |
|---|---|---|
| Jan 22, 2026 | Oct 20, 2026 | Yes |
Search by billing code or procedure name (CPT, HCPCS, MS-DRG and more) to see FHN Memorial Hospital’s price for it.
The codes FHN Memorial Hospital has the most pricing samples for.
| Procedure | ||||||
|---|---|---|---|---|---|---|
| OP VISIT LEVEL 4 ESTCPT 99214 | $185 | $227 | $125 | 21,454–21,535 | $86 | $497 |
| OP VISIT LEVEL 3 ESTCPT 99213 | $127 | $176 | $112 | 16,454–16,580 | $47 | $398 |
| Routine venipunctureCPT 36415 | $32 | $29 | $14 | 16,173 | $2 | $52 |
| Comprehensive metabolic blood panelCPT 80053 | $171 | $179 | $116 | 6,547–6,565 | $6 | $383 |
| Emergency dept visitCPT 99285 | $733 | $876 | $529 | 5,760–5,796 | $178 | $2.3k |
| Lipid panel blood testCPT 80061 | $120 | $145 | $102 | 4,835–4,853 | $6 | $330 |
| Complete blood count with automated differentialCPT 85025 | $68 | $76 | $50 | 4,666–4,693 | $4 | $167 |
| Emergency dept visitCPT 99284 | $556 | $570 | $322 | 3,756–3,792 | $123 | $1.5k |
| Hemoglobin A1c blood testCPT 83036 | $138 | $124 | $64 | 3,683 | $4 | $199 |
| FLUMAZENIL IV SOLN 0.5 MG/5ML (0.1 MG/ML)HCPCS J3490 | $36 | $151 | $422 | 706–5,908 | $1 | $6.6k |
EIN: 362181997
Last updated: Jan 22, 2026
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Hospital ID: c7b6066143f21cfbb0cbea71765b9ceb0a70a979163fa12a1d98fb19703e3623