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Office visit, established patient, 30-39 minutes

CPT 99214 · negotiated-rate distribution across hospitals in IL

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Hospitals
44
Min
$91.55
Median
$173.33
Max
$311.34
Range multiplier
3.4×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield27135$44.65$137.30$737.1016.5×
UnitedHealthcare22104$55.60$143.71$701.9512.6×
Aetna2491$59.69$152.79$909.4715.2×
Cigna2657$82.00$184.05$884.5210.8×
Multiplan1740$143.32$284.00$907.206.3×
Humana1439$44.65$124.05$320.257.2×
Molina933$55.60$90.61$340.206.1×
meridian723$30.90$91.55$276.068.9×
Medicare Advantage121$85.77$132.42$145.671.7×
healthlink621$77.37$250.20$963.9012.5×
advocate employee918$139.87$147.51$155.141.1×
private healthcare systems917$184.60$266.25$315.951.7×
health alliance213$86.18$191.00$425.254.9×
WellCare613$65.79$94.30$132.432.0×
Medicare27$85.77$132.42$132.421.5×
meridian health plan26$65.79$92.41$118.141.8×
prime health services36$86.97$149.12$186.002.1×
ecoh16$135.96$166.80$202.961.5×
community partners health plan (cphp)35$185.35$208.20$667.253.6×
Medicaid45$65.79$276.06$276.064.2×
grosschargerate24$77.00$165.50$220.002.9×
hfn14$135.96$166.80$202.961.5×
zelis (hfn)14$250.20$317.25$384.301.5×
health's finest network [126]14$105.75$227.90$483.654.6×
health partners open network44$129.20$129.20$129.201.0×
deaconess onecare24$91.55$98.87$118.141.3×
deidentifiedhigher24$69.30$139.55$198.002.9×
paymentrate24$69.30$139.55$198.002.9×
amerivantage44$93.27$93.27$93.271.0×
catepillar, inc.14$236.30$299.63$362.951.5×
deidentifiedlower24$69.30$139.55$198.002.9×
Self-Pay (Cash)33$86.80$86.80$86.801.0×
alliance coal23$126.34$126.34$194.931.5×
First Health23$223.20$235.00$569.002.5×
mychoice wi medical adv13$85.77$132.42$132.421.5×
noncontracted23$146.48$146.48$189.031.3×
umwa23$91.55$91.55$118.141.3×
mytru advantage12$91.55$104.85$118.141.3×
alter-net medical services, inc.12$146.48$241.59$336.702.3×
choicecare [177]12$158.39$270.95$383.512.4×
quartz aso12$150.91$173.86$196.801.3×
quartz fully insured12$145.18$167.25$189.321.3×
alliance premier network12$149.57$172.56$195.541.3×
the alliance12$154.74$178.52$202.291.3×
the alliance [1703]12$127.72$218.49$309.252.4×
county care22$276.06$276.06$276.061.0×
care improvement plus22$93.38$106.94$120.501.3×
healthlink [125]12$176.25$301.50$426.752.4×
illinicare22$276.06$276.06$276.061.0×
paymentratepercent22$80.00$85.00$90.001.1×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Union County Hospital DistrictAnnaIL20$248.00$86.80$65.79$91.55$186.00
Alexian Brothers Behavioral HealthHoffman EstatesIL4$110.74$311.34$346.61
Warner Hospital And Health ServicesClintonIL17$327.00$327.00$255.06$277.95$320.46
Alexian Brothers Medical CenterElk Grove VillageIL9$260.53$276.06$346.61
St. Alexius Medical CenterHoffman EstatesIL8$260.53$276.06$346.61
Presence Saints Mary & Elizabeth MedChicagoIL4$900.00$477.00$158.01$259.52$277.60
Carle Foundation HospitalUrbanaIL11$1,134.00$1,134.00$31.50$204.75$963.90
Valley West Community HospitalSandwichIL12$569.00$398.30$44.65$195.01$569.00
Kirby HospitalMonticelloIL13$567.00$340.20$55.60$194.60$510.30
Advocate Sherman HospitalElginIL7$355.00$177.50$105.00$186.73$319.50
Presence Saint Joseph Hospital ElginElginIL1$852.00$281.16$176.55$176.55$261.08
Presence Saint Francis HospitalEvanstonIL1$852.00$281.16$176.55$176.55$261.08
Presence St. Marys HospitalKankakeeIL1$852.00$281.16$176.55$176.55$261.08
Presence Saint Joseph Hosp-ChicagoChicagoIL1$852.00$281.16$176.55$176.55$261.08
Advocate Southland HospitalChicagoIL7$355.00$177.50$105.00$173.33$284.00
Advocate Northside Health SystemChicagoIL7$355.00$177.50$105.00$173.33$288.97
Advocate Christ HospitalOak LawnIL7$355.00$177.50$105.00$173.33$284.00
Advocate Lutheran General HospitalPark RidgeIL7$355.00$177.50$105.00$173.33$315.95
South Suburban HospitalHazelcrestIL7$355.00$177.50$105.00$173.33$345.77
Condell Medical CenterLibertyvilleIL7$355.00$177.50$105.00$169.62$284.00
Advocate Good Samaritan HospitalDowners GroveIL7$355.00$177.50$84.00$160.57$284.00
Good Shepherd HospitalBarringtonIL7$355.00$177.50$84.00$160.57$284.00
Carle Eureka HospitalEurekaIL11$347.00$347.00$30.90$156.15$291.48
Marshall Browning HospitalDuquoinIL6$26.00$150.40$188.00
Red Bud Regional HospitalRed BudIL6$248.00$86.80$86.80$148.80$193.44
Trinity Rock IslandRock IslandIL12$240.00$192.00$88.83$145.05$322.19
Proctor HospitalPeoriaIL8$240.00$192.00$88.83$137.30$184.05
Pekin Memorial HospitalPekinIL8$240.00$192.00$88.83$137.30$184.05
Methodist Medical Ctr Of IllinoisPeoriaIL8$240.00$192.00$88.83$137.30$184.05
Carle Bromenn Medical CenterNormalIL11$347.00$347.00$34.70$132.43$260.25
Swedishamerican HospitalRockfordIL19$275.20$44.03$65.79$132.42$202.96
Hammond-Henry HospitalGeneseoIL5$69.30$128.70$220.00
Heartland Regional Medical CenterMarionIL23$248.00$86.80$65.79$118.14$336.70
Jacksonville Memorial HospitalJacksonvilleIL0$338.00$338.00
Jackson Park HospitalChicagoIL0$365.75$292.60
Board Of Trustees Of The UniversityChicagoIL0$571.00$310.80
Anderson HospitalMaryvilleIL0$415.20$207.60
Memorial Medical CenterSpringfieldIL0$338.00$338.00
Decatur Memorial HospitalDecaturIL0$458.00$458.00
Midwest Medical CenterGalenaIL0$212.10$193.01
Community Hospital Of StauntonStauntonIL0$281.50$140.75
Washington County HospitalNashvilleIL0$251.00$251.00
Gateway RegionalGranite CityIL0$311.83$187.10
Jacksonville Memorial HospitalJacksonvilleIL0$624.00$624.00

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.