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Office visit, new patient, 15-29 min

CPT 99202 · negotiated-rate distribution across hospitals in IL

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Hospitals
45
Min
$45.05
Median
$124.52
Max
$203.82
Range multiplier
4.5×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield28123$15.50$122.49$265.4417.1×
UnitedHealthcare2391$41.73$109.25$308.007.4×
Aetna2580$31.34$97.29$213.446.8×
Cigna2753$63.25$105.00$192.353.0×
Humana1536$33.84$63.51$180.245.3×
Multiplan1832$70.17$184.00$308.004.4×
Molina1028$15.50$48.90$151.689.8×
Medicare Advantage223$35.65$72.83$80.122.2×
advocate employee918$90.62$95.57$100.511.1×
meridian718$16.30$44.17$203.8212.5×
private healthcare systems917$119.60$172.50$204.701.7×
healthlink614$49.89$139.75$205.404.1×
WellCare612$32.21$54.68$72.842.3×
Medicare27$41.73$72.83$72.831.7×
ecoh16$87.69$112.06$140.881.6×
meridian health plan26$32.21$44.63$65.782.0×
prime health services36$41.96$95.75$129.003.1×
grosschargerate25$77.00$180.00$250.003.2×
paymentrate25$69.30$144.00$200.002.9×
Medicaid45$32.21$203.82$203.826.3×
deidentifiedhigher25$69.30$144.00$200.002.9×
deidentifiedlower25$69.30$144.00$200.002.9×
community partners health plan (cphp)34$95.91$159.30$189.602.0×
health alliance24$42.93$93.53$141.113.3×
amerivantage44$45.08$45.08$45.081.0×
deaconess onecare24$44.17$47.70$65.781.5×
hfn14$87.69$112.06$140.881.6×
health partners open network44$82.82$82.82$82.821.0×
First Health33$124.00$154.80$308.002.5×
umwa23$44.17$44.17$65.781.5×
alliance coal23$60.95$60.95$108.531.8×
mychoice wi medical adv13$41.73$72.83$72.831.7×
noncontracted23$70.67$70.67$105.241.5×
Self-Pay (Cash)33$60.20$60.20$60.201.0×
zelis (hfn)12$185.40$185.40$185.401.0×
alliance premier network12$73.63$91.97$110.301.5×
alter-net medical services, inc.12$70.67$129.07$187.462.7×
care improvement plus22$45.05$56.07$67.091.5×
catepillar, inc.12$175.10$175.10$175.101.0×
county care22$203.82$203.82$203.821.0×
family health plan22$203.82$203.82$203.821.0×
harmony health plan22$203.82$203.82$203.821.0×
health's finest network [126]12$138.60$200.20$261.801.9×
illinicare22$203.82$203.82$203.821.0×
mytru advantage12$44.17$54.98$65.781.5×
paymentratepercent22$80.00$85.00$90.001.1×
quartz aso12$72.79$90.77$108.741.5×
quartz fully insured12$70.02$87.32$104.611.5×
the alliance12$76.17$95.14$114.111.5×
healthcare's finest network (hfn)11$146.20$146.20$146.201.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Trinity Rock IslandRock IslandIL12$167.00$133.60$42.93$86.11$159.96
Carle Foundation HospitalUrbanaIL11$163.00$163.00$16.30$72.84$138.55
Carle Bromenn Medical CenterNormalIL11$316.00$316.00$31.60$72.84$237.00
Swedishamerican HospitalRockfordIL19$189.15$30.26$32.21$72.83$140.88
Methodist Medical Ctr Of IllinoisPeoriaIL8$167.00$133.60$42.93$66.30$112.29
Proctor HospitalPeoriaIL8$167.00$133.60$42.93$66.30$112.29
Pekin Memorial HospitalPekinIL8$167.00$133.60$42.93$66.30$112.29
Heartland Regional Medical CenterMarionIL23$172.00$60.20$32.21$65.78$187.46
Alexian Brothers Behavioral HealthHoffman EstatesIL4$55.62$63.25$203.82
Union County Hospital DistrictAnnaIL20$172.00$60.20$32.21$45.05$129.00
St. Alexius Medical CenterHoffman EstatesIL8$63.25$203.82$203.82
Alexian Brothers Medical CenterElk Grove VillageIL9$63.25$203.82$203.82
Valley West Community HospitalSandwichIL12$308.00$215.60$58.52$194.04$308.00
Presence Saints Mary & Elizabeth MedChicagoIL4$77.47$180.24$193.06
Marshall Browning HospitalDuquoinIL6$26.00$162.00$250.00
Warner Hospital And Health ServicesClintonIL17$176.00$176.00$137.28$149.60$172.48
Carle Eureka HospitalEurekaIL11$316.00$316.00$21.50$132.01$265.44
Kirby HospitalMonticelloIL13$206.00$123.60$31.34$131.64$201.88
Presence Saint Francis HospitalEvanstonIL1$509.00$167.97$130.35$130.35$192.76
Presence St. Marys HospitalKankakeeIL1$509.00$167.97$130.35$130.35$192.76
Presence Saint Joseph Hospital ElginElginIL1$509.00$167.97$130.35$130.35$192.76
Presence Saint Joseph Hosp-ChicagoChicagoIL1$509.00$167.97$130.35$130.35$192.76
Hammond-Henry HospitalGeneseoIL5$69.30$128.70$220.00
Advocate Good Samaritan HospitalDowners GroveIL7$230.00$115.00$80.27$125.12$184.00
Advocate Southland HospitalChicagoIL7$230.00$115.00$80.27$125.12$184.00
Advocate Sherman HospitalElginIL7$230.00$115.00$90.62$124.68$207.00
Advocate Lutheran General HospitalPark RidgeIL7$230.00$115.00$80.27$124.52$204.70
Good Shepherd HospitalBarringtonIL7$230.00$115.00$80.27$124.15$184.00
South Suburban HospitalHazelcrestIL7$230.00$115.00$80.27$124.15$224.02
Advocate Northside Health SystemChicagoIL7$230.00$115.00$80.27$124.15$187.22
Advocate Christ HospitalOak LawnIL7$230.00$115.00$80.27$123.66$184.00
Condell Medical CenterLibertyvilleIL7$230.00$115.00$90.62$123.35$184.00
Sparta Community HospitalSpartaIL15$155.00$155.00$15.50$103.85$147.25
Red Bud Regional HospitalRed BudIL6$172.00$60.20$55.21$103.20$134.16
Jacksonville Memorial HospitalJacksonvilleIL0$336.00$336.00
Jacksonville Memorial HospitalJacksonvilleIL0$444.00$444.00
Gateway RegionalGranite CityIL0$234.07$140.44
Jackson Park HospitalChicagoIL0$253.94$203.15
Decatur Memorial HospitalDecaturIL0$336.00$336.00
Anderson HospitalMaryvilleIL0$341.30$170.65
Memorial Medical CenterSpringfieldIL0$336.00$336.00
Midwest Medical CenterGalenaIL0$166.90$151.88
Community Hospital Of StauntonStauntonIL0$176.00$88.00
Washington County HospitalNashvilleIL0$198.00$190.00
Board Of Trustees Of The UniversityChicagoIL0$287.00$189.00

Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.