▸ Compare · PriceTransparency
Office visit, new patient, 45-59 min
CPT 99204 · negotiated-rate distribution across hospitals in IL
Hospitals
44
Min
$128.08
Median
$188.80
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 | $188.80 | $511.44 | 5.8× |
| UnitedHealthcare | 22 | 89 | $84.00 | $174.69 | $626.00 | 7.5× |
| Aetna | 24 | 78 | $88.36 | $191.52 | $454.08 | 5.1× |
| Cigna | 26 | 52 | $82.00 | $179.63 | $428.53 | 5.2× |
| Humana | 14 | 34 | $94.01 | $156.86 | $390.43 | 4.2× |
| Multiplan | 17 | 31 | $197.83 | $284.00 | $626.00 | 3.2× |
| Molina | 9 | 26 | $90.81 | $106.00 | $254.40 | 2.8× |
| Medicare Advantage | 1 | 21 | $119.50 | $174.69 | $192.16 | 1.6× |
| meridian | 7 | 18 | $31.50 | $126.39 | $454.08 | 14.4× |
| advocate employee | 9 | 18 | $139.87 | $147.51 | $155.14 | 1.1× |
| private healthcare systems | 9 | 17 | $184.60 | $266.25 | $315.95 | 1.7× |
| healthlink | 6 | 14 | $127.24 | $300.95 | $455.40 | 3.6× |
| WellCare | 6 | 12 | $90.81 | $141.98 | $174.69 | 1.9× |
| Medicare | 2 | 7 | $119.50 | $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 | $129.60 | $266.40 | $369.00 | 2.8× |
| Medicaid | 4 | 5 | $90.81 | $454.08 | $454.08 | 5.0× |
| deidentifiedhigher | 2 | 5 | $129.60 | $266.40 | $369.00 | 2.8× |
| deidentifiedlower | 2 | 5 | $129.60 | $266.40 | $369.00 | 2.8× |
| grosschargerate | 2 | 5 | $144.00 | $333.00 | $410.00 | 2.8× |
| hfn | 1 | 4 | $225.57 | $265.85 | $312.42 | 1.4× |
| community partners health plan (cphp) | 3 | 4 | $185.35 | $297.90 | $318.00 | 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 | $136.50 | $153.78 | 1.2× |
| umwa | 2 | 3 | $126.39 | $126.39 | $153.78 | 1.2× |
| mychoice wi medical adv | 1 | 3 | $119.50 | $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 | $455.40 | $455.40 | $455.40 | 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 | $430.10 | $430.10 | $430.10 | 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 | $332.10 | $479.05 | $626.00 | 1.9× |
| harmony health plan | 2 | 2 | $454.08 | $454.08 | $454.08 | 1.0× |
| health's finest network [126] | 1 | 2 | $281.70 | $406.90 | $532.10 | 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 | $80.00 | $85.00 | $90.00 | 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 | $236.20 | $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 | $626.00 | $438.20 | $118.94 | $394.38 | $626.00 |
| Presence Saints Mary & Elizabeth Med | Chicago | IL | 4 | — | — | $214.69 | $390.43 | $424.56 |
| Kirby Hospital | Monticello | IL | 13 | $506.00 | $303.60 | $88.36 | $323.34 | $495.88 |
| Warner Hospital And Health Services | Clinton | IL | 17 | $365.00 | $365.00 | $284.70 | $310.25 | $357.70 |
| Marshall Browning Hospital | Duquoin | IL | 6 | — | — | $26.00 | $291.20 | $395.00 |
| Presence Saint Joseph Hospital Elgin | Elgin | IL | 1 | $852.00 | $281.16 | $290.40 | $290.40 | $429.44 |
| Presence Saint Joseph Hosp-Chicago | Chicago | IL | 1 | $852.00 | $281.16 | $290.40 | $290.40 | $429.44 |
| Presence Saint Francis Hospital | Evanston | IL | 1 | $852.00 | $281.16 | $290.40 | $290.40 | $429.44 |
| Presence St. Marys Hospital | Kankakee | IL | 1 | $852.00 | $281.16 | $290.40 | $290.40 | $429.44 |
| Hammond-Henry Hospital | Geneseo | IL | 5 | — | — | $90.00 | $240.30 | $410.00 |
| Carle Eureka Hospital | Eureka | IL | 11 | $530.00 | $530.00 | $46.30 | $238.50 | $445.20 |
| Trinity Rock Island | Rock Island | IL | 12 | $362.00 | $289.60 | $121.61 | $233.00 | $444.52 |
| Red Bud Regional Hospital | Red Bud | IL | 6 | $369.00 | $129.15 | $129.15 | $221.40 | $287.82 |
| Proctor Hospital | Peoria | IL | 8 | $362.00 | $289.60 | $121.61 | $188.80 | $288.21 |
| Pekin Memorial Hospital | Pekin | IL | 8 | $362.00 | $289.60 | $121.61 | $188.80 | $288.21 |
| Methodist Medical Ctr Of Illinois | Peoria | IL | 8 | $362.00 | $289.60 | $121.61 | $188.80 | $288.21 |
| Advocate Sherman Hospital | Elgin | IL | 7 | $355.00 | $177.50 | $105.00 | $186.73 | $319.50 |
| Alexian Brothers Behavioral Health | Hoffman Estates | IL | 4 | — | — | $152.67 | $179.63 | $454.08 |
| Carle Foundation Hospital | Urbana | IL | 11 | $315.00 | $315.00 | $31.50 | $174.69 | $267.75 |
| Carle Bromenn Medical Center | Normal | IL | 11 | $530.00 | $530.00 | $53.00 | $174.69 | $397.50 |
| Swedishamerican Hospital | Rockford | IL | 19 | $387.35 | $61.98 | $90.81 | $174.69 | $312.42 |
| South Suburban Hospital | Hazelcrest | IL | 7 | $355.00 | $177.50 | $105.00 | $173.33 | $345.77 |
| Advocate Christ Hospital | Oak Lawn | IL | 7 | $355.00 | $177.50 | $105.00 | $173.33 | $284.00 |
| Advocate Lutheran General Hospital | Park Ridge | IL | 7 | $355.00 | $177.50 | $105.00 | $173.33 | $315.95 |
| Advocate Northside Health System | Chicago | IL | 7 | $355.00 | $177.50 | $105.00 | $173.33 | $288.97 |
| Advocate Southland Hospital | Chicago | IL | 7 | $355.00 | $177.50 | $105.00 | $173.33 | $284.00 |
| Condell Medical Center | Libertyville | IL | 7 | $355.00 | $177.50 | $105.00 | $169.62 | $284.00 |
| Good Shepherd Hospital | Barrington | IL | 7 | $355.00 | $177.50 | $84.00 | $160.57 | $284.00 |
| Advocate Good Samaritan Hospital | Downers Grove | IL | 7 | $355.00 | $177.50 | $84.00 | $160.57 | $284.00 |
| Heartland Regional Medical Center | Marion | IL | 23 | $369.00 | $129.15 | $90.81 | $153.78 | $438.26 |
| Union County Hospital District | Anna | IL | 20 | $369.00 | $129.15 | $90.81 | $128.08 | $276.75 |
| Washington County Hospital | Nashville | IL | 0 | $457.00 | $368.00 | — | — | — |
| Anderson Hospital | Maryville | IL | 0 | $509.30 | $254.65 | — | — | — |
| Memorial Medical Center | Springfield | IL | 0 | $384.00 | $384.00 | — | — | — |
| Decatur Memorial Hospital | Decatur | IL | 0 | $616.00 | $616.00 | — | — | — |
| Gateway Regional | Granite City | IL | 0 | $289.69 | $173.81 | — | — | — |
| Jacksonville Memorial Hospital | Jacksonville | IL | 0 | $384.00 | $384.00 | — | — | — |
| Board Of Trustees Of The University | Chicago | IL | 0 | $788.00 | $322.00 | — | — | — |
| Jacksonville Memorial Hospital | Jacksonville | IL | 0 | $661.00 | $661.00 | — | — | — |
| Midwest Medical Center | Galena | IL | 0 | $345.00 | $313.95 | — | — | — |
| Jackson Park Hospital | Chicago | IL | 0 | $447.26 | $357.81 | — | — | — |
| Community Hospital Of Staunton | Staunton | IL | 0 | $316.70 | $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.