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Office visit, new patient, 30-44 minutes

CPT 99203 · negotiated-rate distribution across hospitals in IL

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Hospitals
45
Min
$78.59
Median
$148.70
Max
$342.09
Range multiplier
4.4×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield28129$17.80$126.96$443.6324.9×
UnitedHealthcare2394$66.19$138.24$543.008.2×
Aetna2584$41.76$142.26$376.309.0×
Cigna2755$82.00$121.44$332.004.0×
Humana1540$40.94$107.39$311.257.6×
Multiplan1833$121.89$236.00$543.004.5×
Molina1029$17.80$75.99$194.4010.9×
Medicare Advantage223$40.94$115.46$127.013.1×
meridian720$21.50$85.25$299.2813.9×
advocate employee918$116.23$122.58$128.921.1×
private healthcare systems917$153.40$221.25$262.551.7×
healthlink616$75.27$230.10$373.505.0×
WellCare613$55.95$92.69$128.652.3×
health alliance27$74.50$178.80$284.283.8×
Medicare27$73.38$115.46$115.461.6×
deidentifiedlower26$107.10$200.25$306.002.9×
grosschargerate26$119.00$228.50$340.002.9×
prime health services36$73.92$141.96$186.752.5×
paymentrate26$107.10$200.25$306.002.9×
meridian health plan26$55.95$78.02$102.281.8×
deidentifiedhigher26$107.10$200.25$306.002.9×
ecoh16$106.94$133.10$163.871.5×
Medicaid45$55.95$299.28$299.285.3×
community partners health plan (cphp)34$126.51$212.40$243.001.9×
amerivantage44$78.23$78.23$78.231.0×
health partners open network44$127.02$127.02$127.021.0×
zelis (hfn)14$269.10$321.30$373.501.4×
deaconess onecare24$77.81$84.03$102.281.3×
hfn14$95.44$119.02$146.901.5×
catepillar, inc.14$254.15$303.45$352.751.4×
Self-Pay (Cash)33$87.15$87.15$87.151.0×
alliance coal23$107.38$107.38$168.761.6×
First Health33$142.40$224.10$543.003.8×
mychoice wi medical adv13$73.38$115.46$115.461.6×
noncontracted23$124.50$124.50$163.651.3×
umwa23$77.81$77.81$102.281.3×
quartz fully insured12$98.90$115.65$132.401.3×
alliance premier network12$106.33$124.99$143.651.4×
the alliance12$110.00$129.31$148.611.4×
health's finest network [126]12$244.35$352.95$461.551.9×
care improvement plus22$79.37$91.85$104.331.3×
mytru advantage12$77.81$90.05$102.281.3×
paymentratepercent22$80.00$85.00$90.001.1×
illinicare22$299.28$299.28$299.281.0×
alter-net medical services, inc.12$124.50$208.00$291.502.3×
county care22$299.28$299.28$299.281.0×
quartz aso12$102.82$120.23$137.631.3×
family health plan22$299.28$299.28$299.281.0×
harmony health plan22$299.28$299.28$299.281.0×
hope trust11$291.50$291.50$291.501.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Union County Hospital DistrictAnnaIL20$249.00$87.15$55.95$78.59$186.75
Valley West Community HospitalSandwichIL12$543.00$380.10$103.17$342.09$543.00
Alexian Brothers Medical CenterElk Grove VillageIL9$121.44$299.28$299.28
St. Alexius Medical CenterHoffman EstatesIL8$121.44$299.28$299.28
Presence Saints Mary & Elizabeth MedChicagoIL4$132.46$255.52$278.13
Warner Hospital And Health ServicesClintonIL17$259.00$259.00$202.02$220.15$253.82
Marshall Browning HospitalDuquoinIL6$26.00$209.70$308.00
Kirby HospitalMonticelloIL13$415.00$249.00$54.44$207.66$406.70
Hammond-Henry HospitalGeneseoIL5$90.00$201.60$340.00
Presence St. Marys HospitalKankakeeIL1$677.00$223.41$191.40$191.40$283.04
Presence Saint Francis HospitalEvanstonIL1$677.00$223.41$191.40$191.40$283.04
Presence Saint Joseph Hospital ElginElginIL1$677.00$223.41$191.40$191.40$283.04
Presence Saint Joseph Hosp-ChicagoChicagoIL1$677.00$223.41$191.40$191.40$283.04
Carle Eureka HospitalEurekaIL11$405.00$405.00$30.30$182.25$340.20
Advocate Sherman HospitalElginIL7$295.00$147.50$105.00$155.17$265.50
Red Bud Regional HospitalRed BudIL6$249.00$87.15$87.15$149.40$194.22
Advocate Good Samaritan HospitalDowners GroveIL7$295.00$147.50$84.00$148.70$236.00
Good Shepherd HospitalBarringtonIL7$295.00$147.50$84.00$148.70$236.00
Condell Medical CenterLibertyvilleIL7$295.00$147.50$105.00$147.95$236.00
Advocate Southland HospitalChicagoIL7$295.00$147.50$102.96$144.04$236.00
Advocate Christ HospitalOak LawnIL7$295.00$147.50$102.96$144.04$236.00
South Suburban HospitalHazelcrestIL7$295.00$147.50$102.96$144.04$287.33
Advocate Northside Health SystemChicagoIL7$295.00$147.50$102.96$144.04$240.13
Advocate Lutheran General HospitalPark RidgeIL7$295.00$147.50$102.96$144.04$262.55
Trinity Rock IslandRock IslandIL12$237.00$189.60$74.50$138.57$279.06
Alexian Brothers Behavioral HealthHoffman EstatesIL4$94.03$121.44$299.28
Sparta Community HospitalSpartaIL15$178.00$178.00$17.80$119.26$169.10
Methodist Medical Ctr Of IllinoisPeoriaIL8$237.00$189.60$74.50$116.00$168.46
Proctor HospitalPeoriaIL8$237.00$189.60$74.50$116.00$168.46
Pekin Memorial HospitalPekinIL8$237.00$189.60$74.50$116.00$168.46
Carle Bromenn Medical CenterNormalIL11$405.00$405.00$40.50$115.47$303.75
Carle Foundation HospitalUrbanaIL11$215.00$215.00$21.50$115.47$182.75
Swedishamerican HospitalRockfordIL19$275.20$44.03$55.95$115.46$192.64
Heartland Regional Medical CenterMarionIL23$249.00$87.15$55.95$102.28$291.50
Community Hospital Of StauntonStauntonIL0$246.30$123.15
Washington County HospitalNashvilleIL0$255.00$255.00
Decatur Memorial HospitalDecaturIL0$359.00$359.00
Midwest Medical CenterGalenaIL0$240.70$219.04
Gateway RegionalGranite CityIL0$261.88$157.13
Board Of Trustees Of The UniversityChicagoIL0$485.00$249.20
Jackson Park HospitalChicagoIL0$356.35$285.08
Jacksonville Memorial HospitalJacksonvilleIL0$359.00$359.00
Jacksonville Memorial HospitalJacksonvilleIL0$473.00$473.00
Memorial Medical CenterSpringfieldIL0$359.00$359.00
Anderson HospitalMaryvilleIL0$400.10$200.05

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.