Carlinville Area Hospital Pricing Analysis
Source: Hospital MRF file & CMS Medicare PFS 2026
A
Best Value
5x
the federal fair-price benchmark
1,163
114 comparable to federal rates
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Use our price checker to look up any of 7,700+ procedures and see what Medicare considers a fair price.
Biggest Overcharges at This Hospital
These are the procedures where Carlinville Area Hospitalcharges the most compared to the federal fair-price benchmark. “They Charge” is what appears on your bill. “Gov. Benchmark” is what the government determines the doctor's work is worth.
| Procedure | Code | They Charge | Gov. Benchmark | You Overpay |
|---|---|---|---|---|
| CT BIOPSY ABDOMINAL MASS BY SITE | 49180 | $7,135 | $170 | +$6,965 |
| EGD PLACE GASTROSTOMY TUBE | 43246 | $33,397 | $178 | +$33,219 |
| CT BIOPSY LIVER MASS BY SITE | 47000 | $7,135 | $288 | +$6,847 |
| DEBRIDE INFECTED SKIN | 11000 | $9,121 | $59 | +$9,062 |
| CT BIOPSY RENAL MASS BY SITE | 50200 | $7,135 | $492 | +$6,643 |
| RESECTION OF PALATE OR MOUTH LESION | 42120 | $8,496 | $912 | +$7,584 |
| ARTHROPLASTY KNEE TOTAL | 27447 | $8,020 | $1,159 | +$6,861 |
About Carlinville Area Hospital Pricing
Carlinville Area Hospital in Carlinville, IL charges prices relatively close to what insurance companies and the government pay across 114procedures we could compare. This data comes directly from the hospital's own published price file — they're required by federal law to share it.
What this means for your bill
If you're uninsured, out-of-network, or have a high-deductible plan, these prices directly affect what you pay. If you have in-network insurance, your insurer has likely negotiated much lower rates — but you may still owe a percentage of the hospital's high list price for your coinsurance or deductible.
Can I negotiate?
Yes. Most hospitals will reduce bills when patients present evidence. Our bill checker compares your specific charges to fair-price benchmarks and generates a dispute letter you can send to the billing department.
Compare with other hospitals
See how Carlinville Area Hospital stacks up against other hospitals in the area.
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