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Office visit, established patient, 20-29 minutes

CPT 99213 · negotiated-rate distribution across hospitals in IL

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Hospitals
45
Min
$63.33
Median
$128.94
Max
$235.45
Range multiplier
3.7×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield28136$17.80$123.95$418.4623.5×
UnitedHealthcare23104$40.00$119.18$416.0010.4×
Aetna2588$41.76$100.16$298.907.2×
Cigna2757$82.00$124.66$341.604.2×
Humana1541$40.94$87.57$320.257.8×
Multiplan1839$97.30$236.00$416.004.3×
Molina1032$17.80$59.80$143.528.1×
Medicare Advantage223$40.94$92.64$101.902.5×
meridian720$21.00$62.67$183.188.7×
healthlink619$50.23$182.75$384.307.7×
advocate employee918$116.23$122.58$128.921.1×
private healthcare systems917$153.40$221.25$262.551.7×
health alliance213$60.36$137.00$292.504.8×
WellCare613$44.67$65.23$132.373.0×
Medicare27$58.18$92.64$92.641.6×
prime health services36$60.16$103.60$127.502.1×
meridian health plan26$44.67$63.36$83.881.9×
ecoh16$70.62$101.12$137.732.0×
grosschargerate25$51.00$95.00$145.002.8×
deidentifiedhigher25$45.90$85.50$130.502.8×
deidentifiedlower25$45.90$85.50$130.502.8×
Medicaid45$44.67$183.18$183.184.1×
paymentrate25$45.90$85.50$130.502.8×
First Health34$142.40$184.50$416.002.9×
amerivantage44$63.38$63.38$63.381.0×
catepillar, inc.14$170.00$266.48$362.952.1×
zelis (hfn)14$180.00$282.15$384.302.1×
hfn14$63.02$97.04$137.732.2×
community partners health plan (cphp)34$126.00$152.96$179.401.4×
health's finest network [126]14$97.20$185.40$353.603.6×
health partners open network44$83.62$83.62$83.621.0×
deaconess onecare24$63.33$68.40$83.881.3×
Self-Pay (Cash)33$59.50$59.50$59.501.0×
alliance coal23$87.40$87.40$138.401.6×
mychoice wi medical adv13$58.18$92.64$92.641.6×
noncontracted23$101.33$101.33$134.211.3×
umwa23$63.33$63.33$83.881.3×
alter-net medical services, inc.12$101.33$170.20$239.062.4×
healthlink [125]12$162.00$237.00$312.001.9×
quartz aso12$81.94$110.64$139.341.7×
quartz fully insured12$78.83$106.44$134.041.7×
alliance premier network12$86.11$112.05$137.981.6×
the alliance12$89.09$115.92$142.741.6×
the alliance [1703]12$117.40$171.75$226.101.9×
care improvement plus22$64.60$75.08$85.561.3×
county care22$183.18$183.18$183.181.0×
illinicare22$183.18$183.18$183.181.0×
choicecare [177]12$145.58$212.98$280.381.9×
paymentratepercent22$80.00$85.00$90.001.1×
mytru advantage12$63.33$73.61$83.881.3×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Trinity Rock IslandRock IslandIL12$201.00$160.80$60.36$96.19$218.65
Methodist Medical Ctr Of IllinoisPeoriaIL8$201.00$160.80$60.36$93.20$124.66
Pekin Memorial HospitalPekinIL8$201.00$160.80$60.36$93.20$124.66
Proctor HospitalPeoriaIL8$201.00$160.80$60.36$93.20$124.66
Carle Foundation HospitalUrbanaIL11$215.00$215.00$21.50$92.64$182.75
Carle Bromenn Medical CenterNormalIL11$299.00$299.00$29.90$92.64$224.25
Swedishamerican HospitalRockfordIL19$184.80$29.57$44.64$92.64$142.74
Hammond-Henry HospitalGeneseoIL5$45.90$85.50$145.00
Heartland Regional Medical CenterMarionIL23$170.00$59.50$44.67$83.88$239.06
Union County Hospital DistrictAnnaIL20$170.00$59.50$44.67$63.33$127.50
Warner Hospital And Health ServicesClintonIL17$277.00$277.00$216.06$235.45$271.46
Alexian Brothers Behavioral HealthHoffman EstatesIL4$75.13$196.59$209.99
Alexian Brothers Medical CenterElk Grove VillageIL9$172.87$183.18$209.99
St. Alexius Medical CenterHoffman EstatesIL8$172.87$183.18$209.99
Presence Saints Mary & Elizabeth MedChicagoIL4$806.00$427.18$106.79$178.43$188.14
Valley West Community HospitalSandwichIL12$416.00$291.20$41.04$174.64$416.00
Advocate Sherman HospitalElginIL7$295.00$147.50$105.00$155.17$265.50
Good Shepherd HospitalBarringtonIL7$295.00$147.50$84.00$148.70$236.00
Advocate Good Samaritan HospitalDowners GroveIL7$295.00$147.50$84.00$148.70$236.00
Condell Medical CenterLibertyvilleIL7$295.00$147.50$105.00$147.95$236.00
Advocate Christ HospitalOak LawnIL7$295.00$147.50$102.96$144.04$236.00
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
Advocate Southland HospitalChicagoIL7$295.00$147.50$102.96$144.04$236.00
South Suburban HospitalHazelcrestIL7$295.00$147.50$102.96$144.04$287.33
Kirby HospitalMonticelloIL13$427.00$256.20$40.00$137.80$418.46
Carle Eureka HospitalEurekaIL11$299.00$299.00$21.00$128.94$251.16
Sparta Community HospitalSpartaIL15$178.00$178.00$17.80$119.26$169.10
Presence Saint Joseph Hospital ElginElginIL1$677.00$223.41$117.15$117.15$173.24
Presence Saint Francis HospitalEvanstonIL1$677.00$223.41$117.15$117.15$173.24
Presence Saint Joseph Hosp-ChicagoChicagoIL1$677.00$223.41$117.15$117.15$173.24
Presence St. Marys HospitalKankakeeIL1$677.00$223.41$117.15$117.15$173.24
Marshall Browning HospitalDuquoinIL6$26.00$104.00$130.00
Red Bud Regional HospitalRed BudIL6$170.00$59.50$59.50$102.00$132.60
Midwest Medical CenterGalenaIL0$178.30$162.25
Board Of Trustees Of The UniversityChicagoIL0$387.00$243.60
Memorial Medical CenterSpringfieldIL0$311.00$311.00
Anderson HospitalMaryvilleIL0$370.70$185.35
Decatur Memorial HospitalDecaturIL0$311.00$311.00
Jackson Park HospitalChicagoIL0$284.24$227.39
Gateway RegionalGranite CityIL0$281.71$169.03
Community Hospital Of StauntonStauntonIL0$211.20$105.60
Washington County HospitalNashvilleIL0$232.00$201.00
Jacksonville Memorial HospitalJacksonvilleIL0$311.00$311.00
Jacksonville Memorial HospitalJacksonvilleIL0$457.00$457.00

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.