▸ Compare · PriceTransparency
Office visit, new patient, 60-74 min
CPT 99205 · negotiated-rate distribution across hospitals in IL
Hospitals
43
Min
$172.14
Median
$257.00
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 | $84.00 | $226.40 | $915.00 | 10.9× |
| Aetna | 24 | 78 | $120.16 | $234.19 | $634.10 | 5.3× |
| Cigna | 26 | 52 | $82.00 | $242.89 | $540.54 | 6.6× |
| Humana | 14 | 34 | $127.56 | $207.08 | $501.00 | 3.9× |
| Multiplan | 17 | 31 | $269.01 | $332.00 | $915.00 | 3.4× |
| Molina | 9 | 26 | $108.60 | $131.20 | $314.88 | 2.9× |
| Medicare Advantage | 1 | 21 | $164.36 | $234.19 | $257.61 | 1.6× |
| meridian | 7 | 18 | $36.20 | $172.14 | $572.76 | 15.8× |
| advocate employee | 9 | 18 | $163.51 | $172.44 | $181.36 | 1.1× |
| private healthcare systems | 9 | 17 | $215.80 | $311.25 | $369.35 | 1.7× |
| healthlink | 6 | 14 | $166.00 | $380.25 | $601.20 | 3.6× |
| WellCare | 6 | 12 | $123.49 | $190.13 | $234.20 | 1.9× |
| Medicare | 2 | 7 | $164.36 | $234.19 | $234.19 | 1.4× |
| meridian health plan | 2 | 6 | $123.49 | $172.80 | $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 | $312.80 | $441.00 | 2.9× |
| Medicaid | 4 | 5 | $123.49 | $572.76 | $572.76 | 4.6× |
| deidentifiedhigher | 2 | 5 | $154.35 | $312.80 | $441.00 | 2.9× |
| deidentifiedlower | 2 | 5 | $154.35 | $312.80 | $441.00 | 2.9× |
| grosschargerate | 2 | 5 | $171.50 | $391.00 | $490.00 | 2.9× |
| hfn | 1 | 4 | $293.89 | $340.67 | $394.34 | 1.3× |
| community partners health plan (cphp) | 3 | 4 | $213.00 | $372.30 | $393.60 | 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 | $165.20 | $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 | $601.20 | $601.20 | $601.20 | 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 | $578.40 | 2.1× |
| care improvement plus | 2 | 2 | $175.58 | $191.30 | $207.01 | 1.2× |
| catepillar, inc. | 1 | 2 | $567.80 | $567.80 | $567.80 | 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 | $405.90 | $660.45 | $915.00 | 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 | $80.00 | $85.00 | $90.00 | 1.1× |
| quartz aso | 1 | 2 | $284.13 | $313.47 | $342.80 | 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 | $915.00 | $640.50 | $173.85 | $576.45 | $915.00 |
| 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 | $668.00 | $400.80 | $120.16 | $426.85 | $654.64 |
| Warner Hospital And Health Services | Clinton | IL | 17 | $463.00 | $463.00 | $361.14 | $393.55 | $453.74 |
| Presence Saint Joseph Hospital Elgin | Elgin | IL | 1 | $1,106.00 | $364.98 | $366.30 | $366.30 | $541.68 |
| Presence Saint Francis Hospital | Evanston | IL | 1 | $1,106.00 | $364.98 | $366.30 | $366.30 | $541.68 |
| Presence St. Marys Hospital | Kankakee | IL | 1 | $1,106.00 | $364.98 | $366.30 | $366.30 | $541.68 |
| Presence Saint Joseph Hosp-Chicago | Chicago | IL | 1 | $1,106.00 | $364.98 | $366.30 | $366.30 | $541.68 |
| Marshall Browning Hospital | Duquoin | IL | 6 | — | — | $26.00 | $334.00 | $444.00 |
| Carle Eureka Hospital | Eureka | IL | 11 | $656.00 | $656.00 | $58.50 | $295.20 | $551.04 |
| Hammond-Henry Hospital | Geneseo | IL | 5 | — | — | $90.00 | $286.65 | $490.00 |
| Alexian Brothers Behavioral Health | Hoffman Estates | IL | 4 | — | — | $207.28 | $270.71 | $572.76 |
| Red Bud Regional Hospital | Red Bud | IL | 6 | $451.00 | $157.85 | $157.85 | $270.60 | $351.78 |
| Pekin Memorial Hospital | Pekin | IL | 8 | $459.00 | $367.20 | $165.20 | $257.00 | $376.67 |
| Proctor Hospital | Peoria | IL | 8 | $459.00 | $367.20 | $165.20 | $257.00 | $376.67 |
| Methodist Medical Ctr Of Illinois | Peoria | IL | 8 | $459.00 | $367.20 | $165.20 | $257.00 | $376.67 |
| Carle Foundation Hospital | Urbana | IL | 11 | $362.00 | $362.00 | $36.20 | $234.20 | $307.70 |
| Carle Bromenn Medical Center | Normal | IL | 11 | $656.00 | $656.00 | $65.60 | $234.20 | $492.00 |
| Swedishamerican Hospital | Rockford | IL | 19 | $531.30 | $85.01 | $123.49 | $234.19 | $394.34 |
| Advocate Sherman Hospital | Elgin | IL | 7 | $415.00 | $207.50 | $105.00 | $218.29 | $373.50 |
| Heartland Regional Medical Center | Marion | IL | 23 | $451.00 | $157.85 | $123.49 | $202.95 | $578.40 |
| Advocate Christ Hospital | Oak Lawn | IL | 7 | $415.00 | $207.50 | $105.00 | $202.63 | $332.00 |
| Advocate Lutheran General Hospital | Park Ridge | IL | 7 | $415.00 | $207.50 | $105.00 | $202.63 | $369.35 |
| South Suburban Hospital | Hazelcrest | IL | 7 | $415.00 | $207.50 | $105.00 | $202.63 | $404.21 |
| Advocate Northside Health System | Chicago | IL | 7 | $415.00 | $207.50 | $105.00 | $202.63 | $337.81 |
| Advocate Southland Hospital | Chicago | IL | 7 | $415.00 | $207.50 | $105.00 | $202.63 | $332.00 |
| Condell Medical Center | Libertyville | IL | 7 | $415.00 | $207.50 | $105.00 | $191.94 | $332.00 |
| Trinity Rock Island | Rock Island | IL | 12 | $459.00 | $367.20 | $165.20 | $189.36 | $603.47 |
| Good Shepherd Hospital | Barrington | IL | 7 | $415.00 | $207.50 | $84.00 | $174.51 | $332.00 |
| Advocate Good Samaritan Hospital | Downers Grove | IL | 7 | $415.00 | $207.50 | $84.00 | $174.51 | $332.00 |
| Union County Hospital District | Anna | IL | 20 | $451.00 | $157.85 | $123.49 | $172.14 | $338.25 |
| Community Hospital Of Staunton | Staunton | IL | 0 | $387.00 | $193.50 | — | — | — |
| Anderson Hospital | Maryville | IL | 0 | $578.60 | $289.30 | — | — | — |
| Decatur Memorial Hospital | Decatur | IL | 0 | $1,155.00 | $1,155.00 | — | — | — |
| Gateway Regional | Granite City | IL | 0 | $317.50 | $190.50 | — | — | — |
| Jacksonville Memorial Hospital | Jacksonville | IL | 0 | $407.00 | $407.00 | — | — | — |
| Memorial Medical Center | Springfield | IL | 0 | $407.00 | $407.00 | — | — | — |
| Jacksonville Memorial Hospital | Jacksonville | IL | 0 | $832.00 | $832.00 | — | — | — |
| Jackson Park Hospital | Chicago | IL | 0 | $562.21 | $449.77 | — | — | — |
| Midwest Medical Center | Galena | IL | 0 | $425.40 | $387.11 | — | — | — |
| Board Of Trustees Of The University | Chicago | IL | 0 | $1,069.00 | $344.40 | — | — | — |
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.