▸ Compare · PriceTransparency
Office visit, new patient, 45-59 min
CPT 99204 · negotiated-rate distribution across hospitals in IL
Hospitals
44
Min
$128.08
Median
$188.8
Max
$454.08
Range multiplier
3.5×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 27 | 120 | $88.36 | $188.8 | $511.44 | 5.8× |
| UnitedHealthcare | 22 | 89 | $84 | $174.69 | $626 | 7.5× |
| Aetna | 24 | 78 | $88.36 | $191.52 | $454.08 | 5.1× |
| Cigna | 26 | 52 | $82 | $179.63 | $428.53 | 5.2× |
| Humana | 14 | 34 | $94.01 | $156.86 | $390.43 | 4.2× |
| Multiplan | 17 | 31 | $197.83 | $284 | $626 | 3.2× |
| Molina | 9 | 26 | $90.81 | $106 | $254.4 | 2.8× |
| Medicare Advantage | 1 | 21 | $119.5 | $174.69 | $192.16 | 1.6× |
| meridian | 7 | 18 | $31.5 | $126.39 | $454.08 | 14.4× |
| advocate employee | 9 | 18 | $139.87 | $147.51 | $155.14 | 1.1× |
| private healthcare systems | 9 | 17 | $184.6 | $266.25 | $315.95 | 1.7× |
| healthlink | 6 | 14 | $127.24 | $300.95 | $455.4 | 3.6× |
| WellCare | 6 | 12 | $90.81 | $141.98 | $174.69 | 1.9× |
| Medicare | 2 | 7 | $119.5 | $174.69 | $174.69 | 1.5× |
| meridian health plan | 2 | 6 | $90.81 | $127.04 | $153.78 | 1.7× |
| prime health services | 3 | 6 | $120.07 | $211.42 | $276.75 | 2.3× |
| ecoh | 1 | 6 | $225.57 | $265.85 | $312.42 | 1.4× |
| paymentrate | 2 | 5 | $129.6 | $266.4 | $369 | 2.8× |
| Medicaid | 4 | 5 | $90.81 | $454.08 | $454.08 | 5.0× |
| deidentifiedhigher | 2 | 5 | $129.6 | $266.4 | $369 | 2.8× |
| deidentifiedlower | 2 | 5 | $129.6 | $266.4 | $369 | 2.8× |
| grosschargerate | 2 | 5 | $144 | $333 | $410 | 2.8× |
| hfn | 1 | 4 | $225.57 | $265.85 | $312.42 | 1.4× |
| community partners health plan (cphp) | 3 | 4 | $185.35 | $297.9 | $318 | 1.7× |
| health partners open network | 4 | 4 | $214.84 | $214.84 | $214.84 | 1.0× |
| amerivantage | 4 | 4 | $127.69 | $127.69 | $127.69 | 1.0× |
| health alliance | 2 | 4 | $121.61 | $229.73 | $346.61 | 2.9× |
| deaconess onecare | 2 | 4 | $126.39 | $136.5 | $153.78 | 1.2× |
| umwa | 2 | 3 | $126.39 | $126.39 | $153.78 | 1.2× |
| mychoice wi medical adv | 1 | 3 | $119.5 | $174.69 | $174.69 | 1.5× |
| Self-Pay (Cash) | 3 | 3 | $129.15 | $129.15 | $129.15 | 1.0× |
| alliance coal | 2 | 3 | $174.42 | $174.42 | $253.73 | 1.5× |
| noncontracted | 2 | 3 | $202.22 | $202.22 | $246.04 | 1.2× |
| zelis (hfn) | 1 | 2 | $455.4 | $455.4 | $455.4 | 1.0× |
| alliance premier network | 1 | 2 | $203.78 | $228.32 | $252.85 | 1.2× |
| alter-net medical services, inc. | 1 | 2 | $202.22 | $320.24 | $438.26 | 2.2× |
| care improvement plus | 2 | 2 | $128.92 | $142.89 | $156.85 | 1.2× |
| catepillar, inc. | 1 | 2 | $430.1 | $430.1 | $430.1 | 1.0× |
| county care | 2 | 2 | $454.08 | $454.08 | $454.08 | 1.0× |
| family health plan | 2 | 2 | $454.08 | $454.08 | $454.08 | 1.0× |
| First Health | 2 | 2 | $332.1 | $479.05 | $626 | 1.9× |
| harmony health plan | 2 | 2 | $454.08 | $454.08 | $454.08 | 1.0× |
| health's finest network [126] | 1 | 2 | $281.7 | $406.9 | $532.1 | 1.9× |
| illinicare | 2 | 2 | $454.08 | $454.08 | $454.08 | 1.0× |
| mytru advantage | 1 | 2 | $126.39 | $140.09 | $153.78 | 1.2× |
| paymentratepercent | 2 | 2 | $80 | $85 | $90 | 1.1× |
| quartz aso | 1 | 2 | $208.58 | $233.66 | $258.73 | 1.2× |
| quartz fully insured | 1 | 2 | $200.65 | $224.77 | $248.89 | 1.2× |
| the alliance | 1 | 2 | $210.82 | $236.2 | $261.58 | 1.2× |
| humana_hmo_ppo | 1 | 1 | $310.25 | $310.25 | $310.25 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| ST. ALEXIUS MEDICAL CENTER | HOFFMAN ESTATES | IL | 8 | — | — | $179.63 | $454.08 | $454.08 |
| ALEXIAN BROTHERS MEDICAL CENTER | ELK GROVE VILLAGE | IL | 9 | — | — | $179.63 | $454.08 | $454.08 |
| VALLEY WEST COMMUNITY HOSPITAL | SANDWICH | IL | 12 | $626 | $438.2 | $118.94 | $394.38 | $626 |
| PRESENCE SAINTS MARY & ELIZABETH MED | CHICAGO | IL | 4 | — | — | $214.69 | $390.43 | $424.56 |
| KIRBY HOSPITAL | MONTICELLO | IL | 13 | $506 | $303.6 | $88.36 | $323.34 | $495.88 |
| WARNER HOSPITAL AND HEALTH SERVICES | CLINTON | IL | 17 | $365 | $365 | $284.7 | $310.25 | $357.7 |
| MARSHALL BROWNING HOSPITAL | DUQUOIN | IL | 6 | — | — | $26 | $291.2 | $395 |
| PRESENCE SAINT JOSEPH HOSPITAL ELGIN | ELGIN | IL | 1 | $852 | $281.16 | $290.4 | $290.4 | $429.44 |
| PRESENCE SAINT JOSEPH HOSP-CHICAGO | CHICAGO | IL | 1 | $852 | $281.16 | $290.4 | $290.4 | $429.44 |
| PRESENCE SAINT FRANCIS HOSPITAL | EVANSTON | IL | 1 | $852 | $281.16 | $290.4 | $290.4 | $429.44 |
| PRESENCE ST. MARYS HOSPITAL | KANKAKEE | IL | 1 | $852 | $281.16 | $290.4 | $290.4 | $429.44 |
| HAMMOND-HENRY HOSPITAL | GENESEO | IL | 5 | — | — | $90 | $240.3 | $410 |
| CARLE EUREKA HOSPITAL | EUREKA | IL | 11 | $530 | $530 | $46.3 | $238.5 | $445.2 |
| TRINITY ROCK ISLAND | ROCK ISLAND | IL | 12 | $362 | $289.6 | $121.61 | $233 | $444.52 |
| RED BUD REGIONAL HOSPITAL | RED BUD | IL | 6 | $369 | $129.15 | $129.15 | $221.4 | $287.82 |
| PROCTOR HOSPITAL | PEORIA | IL | 8 | $362 | $289.6 | $121.61 | $188.8 | $288.21 |
| PEKIN MEMORIAL HOSPITAL | PEKIN | IL | 8 | $362 | $289.6 | $121.61 | $188.8 | $288.21 |
| METHODIST MEDICAL CTR OF ILLINOIS | PEORIA | IL | 8 | $362 | $289.6 | $121.61 | $188.8 | $288.21 |
| ADVOCATE SHERMAN HOSPITAL | ELGIN | IL | 7 | $355 | $177.5 | $105 | $186.73 | $319.5 |
| ALEXIAN BROTHERS BEHAVIORAL HEALTH | HOFFMAN ESTATES | IL | 4 | — | — | $152.67 | $179.63 | $454.08 |
| CARLE FOUNDATION HOSPITAL | URBANA | IL | 11 | $315 | $315 | $31.5 | $174.69 | $267.75 |
| CARLE BROMENN MEDICAL CENTER | NORMAL | IL | 11 | $530 | $530 | $53 | $174.69 | $397.5 |
| SWEDISHAMERICAN HOSPITAL | ROCKFORD | IL | 19 | $387.35 | $61.98 | $90.81 | $174.69 | $312.42 |
| SOUTH SUBURBAN HOSPITAL | HAZELCREST | IL | 7 | $355 | $177.5 | $105 | $173.33 | $345.77 |
| ADVOCATE CHRIST HOSPITAL | OAK LAWN | IL | 7 | $355 | $177.5 | $105 | $173.33 | $284 |
| ADVOCATE LUTHERAN GENERAL HOSPITAL | PARK RIDGE | IL | 7 | $355 | $177.5 | $105 | $173.33 | $315.95 |
| ADVOCATE NORTHSIDE HEALTH SYSTEM | CHICAGO | IL | 7 | $355 | $177.5 | $105 | $173.33 | $288.97 |
| ADVOCATE SOUTHLAND HOSPITAL | CHICAGO | IL | 7 | $355 | $177.5 | $105 | $173.33 | $284 |
| CONDELL MEDICAL CENTER | LIBERTYVILLE | IL | 7 | $355 | $177.5 | $105 | $169.62 | $284 |
| GOOD SHEPHERD HOSPITAL | BARRINGTON | IL | 7 | $355 | $177.5 | $84 | $160.57 | $284 |
| ADVOCATE GOOD SAMARITAN HOSPITAL | DOWNERS GROVE | IL | 7 | $355 | $177.5 | $84 | $160.57 | $284 |
| HEARTLAND REGIONAL MEDICAL CENTER | MARION | IL | 23 | $369 | $129.15 | $90.81 | $153.78 | $438.26 |
| UNION COUNTY HOSPITAL DISTRICT | ANNA | IL | 20 | $369 | $129.15 | $90.81 | $128.08 | $276.75 |
| WASHINGTON COUNTY HOSPITAL | NASHVILLE | IL | 0 | $457 | $368 | — | — | — |
| ANDERSON HOSPITAL | MARYVILLE | IL | 0 | $509.3 | $254.65 | — | — | — |
| MEMORIAL MEDICAL CENTER | SPRINGFIELD | IL | 0 | $384 | $384 | — | — | — |
| DECATUR MEMORIAL HOSPITAL | DECATUR | IL | 0 | $616 | $616 | — | — | — |
| GATEWAY REGIONAL | GRANITE CITY | IL | 0 | $289.69 | $173.81 | — | — | — |
| JACKSONVILLE MEMORIAL HOSPITAL | JACKSONVILLE | IL | 0 | $384 | $384 | — | — | — |
| BOARD OF TRUSTEES OF THE UNIVERSITY | CHICAGO | IL | 0 | $788 | $322 | — | — | — |
| JACKSONVILLE MEMORIAL HOSPITAL | JACKSONVILLE | IL | 0 | $661 | $661 | — | — | — |
| MIDWEST MEDICAL CENTER | GALENA | IL | 0 | $345 | $313.95 | — | — | — |
| JACKSON PARK HOSPITAL | CHICAGO | IL | 0 | $447.26 | $357.81 | — | — | — |
| COMMUNITY HOSPITAL OF STAUNTON | STAUNTON | IL | 0 | $316.7 | $158.35 | — | — | — |
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.