▸ Compare · PriceTransparency
Office visit, new patient, 60-74 min
CPT 99205 · negotiated-rate distribution across hospitals in IL
Hospitals
43
Min
$172.14
Median
$257
Max
$576.45
Range multiplier
3.3×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 27 | 122 | $108.27 | $236.34 | $747.56 | 6.9× |
| UnitedHealthcare | 22 | 89 | $84 | $226.4 | $915 | 10.9× |
| Aetna | 24 | 78 | $120.16 | $234.19 | $634.1 | 5.3× |
| Cigna | 26 | 52 | $82 | $242.89 | $540.54 | 6.6× |
| Humana | 14 | 34 | $127.56 | $207.08 | $501 | 3.9× |
| Multiplan | 17 | 31 | $269.01 | $332 | $915 | 3.4× |
| Molina | 9 | 26 | $108.6 | $131.2 | $314.88 | 2.9× |
| Medicare Advantage | 1 | 21 | $164.36 | $234.19 | $257.61 | 1.6× |
| meridian | 7 | 18 | $36.2 | $172.14 | $572.76 | 15.8× |
| advocate employee | 9 | 18 | $163.51 | $172.44 | $181.36 | 1.1× |
| private healthcare systems | 9 | 17 | $215.8 | $311.25 | $369.35 | 1.7× |
| healthlink | 6 | 14 | $166 | $380.25 | $601.2 | 3.6× |
| WellCare | 6 | 12 | $123.49 | $190.13 | $234.2 | 1.9× |
| Medicare | 2 | 7 | $164.36 | $234.19 | $234.19 | 1.4× |
| meridian health plan | 2 | 6 | $123.49 | $172.8 | $202.95 | 1.6× |
| prime health services | 3 | 6 | $163.53 | $265.53 | $338.25 | 2.1× |
| ecoh | 1 | 6 | $293.89 | $340.67 | $394.34 | 1.3× |
| paymentrate | 2 | 5 | $154.35 | $312.8 | $441 | 2.9× |
| Medicaid | 4 | 5 | $123.49 | $572.76 | $572.76 | 4.6× |
| deidentifiedhigher | 2 | 5 | $154.35 | $312.8 | $441 | 2.9× |
| deidentifiedlower | 2 | 5 | $154.35 | $312.8 | $441 | 2.9× |
| grosschargerate | 2 | 5 | $171.5 | $391 | $490 | 2.9× |
| hfn | 1 | 4 | $293.89 | $340.67 | $394.34 | 1.3× |
| community partners health plan (cphp) | 3 | 4 | $213 | $372.3 | $393.6 | 1.8× |
| health partners open network | 4 | 4 | $279.38 | $279.38 | $279.38 | 1.0× |
| amerivantage | 4 | 4 | $173.46 | $173.46 | $173.46 | 1.0× |
| health alliance | 2 | 4 | $165.2 | $303.27 | $457.58 | 2.8× |
| deaconess onecare | 2 | 4 | $172.14 | $185.91 | $202.95 | 1.2× |
| umwa | 2 | 3 | $172.14 | $172.14 | $202.95 | 1.2× |
| mychoice wi medical adv | 1 | 3 | $164.36 | $234.19 | $234.19 | 1.4× |
| Self-Pay (Cash) | 3 | 3 | $157.85 | $157.85 | $157.85 | 1.0× |
| alliance coal | 2 | 3 | $237.55 | $237.55 | $334.86 | 1.4× |
| noncontracted | 2 | 3 | $275.42 | $275.42 | $324.72 | 1.2× |
| zelis (hfn) | 1 | 2 | $601.2 | $601.2 | $601.2 | 1.0× |
| alliance premier network | 1 | 2 | $276.64 | $305.57 | $334.49 | 1.2× |
| alter-net medical services, inc. | 1 | 2 | $275.42 | $426.91 | $578.4 | 2.1× |
| care improvement plus | 2 | 2 | $175.58 | $191.3 | $207.01 | 1.2× |
| catepillar, inc. | 1 | 2 | $567.8 | $567.8 | $567.8 | 1.0× |
| county care | 2 | 2 | $572.76 | $572.76 | $572.76 | 1.0× |
| family health plan | 2 | 2 | $572.76 | $572.76 | $572.76 | 1.0× |
| First Health | 2 | 2 | $405.9 | $660.45 | $915 | 2.3× |
| harmony health plan | 2 | 2 | $572.76 | $572.76 | $572.76 | 1.0× |
| health's finest network [126] | 1 | 2 | $411.75 | $594.75 | $777.75 | 1.9× |
| illinicare | 2 | 2 | $572.76 | $572.76 | $572.76 | 1.0× |
| mytru advantage | 1 | 2 | $172.14 | $187.55 | $202.95 | 1.2× |
| paymentratepercent | 2 | 2 | $80 | $85 | $90 | 1.1× |
| quartz aso | 1 | 2 | $284.13 | $313.47 | $342.8 | 1.2× |
| quartz fully insured | 1 | 2 | $273.33 | $301.55 | $329.77 | 1.2× |
| the alliance | 1 | 2 | $286.19 | $316.12 | $346.04 | 1.2× |
| humana_hmo_ppo | 1 | 1 | $393.55 | $393.55 | $393.55 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| VALLEY WEST COMMUNITY HOSPITAL | SANDWICH | IL | 12 | $915 | $640.5 | $173.85 | $576.45 | $915 |
| ST. ALEXIUS MEDICAL CENTER | HOFFMAN ESTATES | IL | 8 | — | — | $270.71 | $572.76 | $572.76 |
| ALEXIAN BROTHERS MEDICAL CENTER | ELK GROVE VILLAGE | IL | 9 | — | — | $270.71 | $572.76 | $572.76 |
| PRESENCE SAINTS MARY & ELIZABETH MED | CHICAGO | IL | 4 | — | — | $291.52 | $493.65 | $532.53 |
| KIRBY HOSPITAL | MONTICELLO | IL | 13 | $668 | $400.8 | $120.16 | $426.85 | $654.64 |
| WARNER HOSPITAL AND HEALTH SERVICES | CLINTON | IL | 17 | $463 | $463 | $361.14 | $393.55 | $453.74 |
| PRESENCE SAINT JOSEPH HOSPITAL ELGIN | ELGIN | IL | 1 | $1,106 | $364.98 | $366.3 | $366.3 | $541.68 |
| PRESENCE SAINT FRANCIS HOSPITAL | EVANSTON | IL | 1 | $1,106 | $364.98 | $366.3 | $366.3 | $541.68 |
| PRESENCE ST. MARYS HOSPITAL | KANKAKEE | IL | 1 | $1,106 | $364.98 | $366.3 | $366.3 | $541.68 |
| PRESENCE SAINT JOSEPH HOSP-CHICAGO | CHICAGO | IL | 1 | $1,106 | $364.98 | $366.3 | $366.3 | $541.68 |
| MARSHALL BROWNING HOSPITAL | DUQUOIN | IL | 6 | — | — | $26 | $334 | $444 |
| CARLE EUREKA HOSPITAL | EUREKA | IL | 11 | $656 | $656 | $58.5 | $295.2 | $551.04 |
| HAMMOND-HENRY HOSPITAL | GENESEO | IL | 5 | — | — | $90 | $286.65 | $490 |
| ALEXIAN BROTHERS BEHAVIORAL HEALTH | HOFFMAN ESTATES | IL | 4 | — | — | $207.28 | $270.71 | $572.76 |
| RED BUD REGIONAL HOSPITAL | RED BUD | IL | 6 | $451 | $157.85 | $157.85 | $270.6 | $351.78 |
| PEKIN MEMORIAL HOSPITAL | PEKIN | IL | 8 | $459 | $367.2 | $165.2 | $257 | $376.67 |
| PROCTOR HOSPITAL | PEORIA | IL | 8 | $459 | $367.2 | $165.2 | $257 | $376.67 |
| METHODIST MEDICAL CTR OF ILLINOIS | PEORIA | IL | 8 | $459 | $367.2 | $165.2 | $257 | $376.67 |
| CARLE FOUNDATION HOSPITAL | URBANA | IL | 11 | $362 | $362 | $36.2 | $234.2 | $307.7 |
| CARLE BROMENN MEDICAL CENTER | NORMAL | IL | 11 | $656 | $656 | $65.6 | $234.2 | $492 |
| SWEDISHAMERICAN HOSPITAL | ROCKFORD | IL | 19 | $531.3 | $85.01 | $123.49 | $234.19 | $394.34 |
| ADVOCATE SHERMAN HOSPITAL | ELGIN | IL | 7 | $415 | $207.5 | $105 | $218.29 | $373.5 |
| HEARTLAND REGIONAL MEDICAL CENTER | MARION | IL | 23 | $451 | $157.85 | $123.49 | $202.95 | $578.4 |
| ADVOCATE CHRIST HOSPITAL | OAK LAWN | IL | 7 | $415 | $207.5 | $105 | $202.63 | $332 |
| ADVOCATE LUTHERAN GENERAL HOSPITAL | PARK RIDGE | IL | 7 | $415 | $207.5 | $105 | $202.63 | $369.35 |
| SOUTH SUBURBAN HOSPITAL | HAZELCREST | IL | 7 | $415 | $207.5 | $105 | $202.63 | $404.21 |
| ADVOCATE NORTHSIDE HEALTH SYSTEM | CHICAGO | IL | 7 | $415 | $207.5 | $105 | $202.63 | $337.81 |
| ADVOCATE SOUTHLAND HOSPITAL | CHICAGO | IL | 7 | $415 | $207.5 | $105 | $202.63 | $332 |
| CONDELL MEDICAL CENTER | LIBERTYVILLE | IL | 7 | $415 | $207.5 | $105 | $191.94 | $332 |
| TRINITY ROCK ISLAND | ROCK ISLAND | IL | 12 | $459 | $367.2 | $165.2 | $189.36 | $603.47 |
| GOOD SHEPHERD HOSPITAL | BARRINGTON | IL | 7 | $415 | $207.5 | $84 | $174.51 | $332 |
| ADVOCATE GOOD SAMARITAN HOSPITAL | DOWNERS GROVE | IL | 7 | $415 | $207.5 | $84 | $174.51 | $332 |
| UNION COUNTY HOSPITAL DISTRICT | ANNA | IL | 20 | $451 | $157.85 | $123.49 | $172.14 | $338.25 |
| COMMUNITY HOSPITAL OF STAUNTON | STAUNTON | IL | 0 | $387 | $193.5 | — | — | — |
| ANDERSON HOSPITAL | MARYVILLE | IL | 0 | $578.6 | $289.3 | — | — | — |
| DECATUR MEMORIAL HOSPITAL | DECATUR | IL | 0 | $1,155 | $1,155 | — | — | — |
| GATEWAY REGIONAL | GRANITE CITY | IL | 0 | $317.5 | $190.5 | — | — | — |
| JACKSONVILLE MEMORIAL HOSPITAL | JACKSONVILLE | IL | 0 | $407 | $407 | — | — | — |
| MEMORIAL MEDICAL CENTER | SPRINGFIELD | IL | 0 | $407 | $407 | — | — | — |
| JACKSONVILLE MEMORIAL HOSPITAL | JACKSONVILLE | IL | 0 | $832 | $832 | — | — | — |
| JACKSON PARK HOSPITAL | CHICAGO | IL | 0 | $562.21 | $449.77 | — | — | — |
| MIDWEST MEDICAL CENTER | GALENA | IL | 0 | $425.4 | $387.11 | — | — | — |
| BOARD OF TRUSTEES OF THE UNIVERSITY | CHICAGO | IL | 0 | $1,069 | $344.4 | — | — | — |
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.