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Office visit, established patient, 40-54 min

CPT 99215 · negotiated-rate distribution across hospitals in IL

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Hospitals
44
Min
$135.18
Median
$203.00
Max
$548.10
Range multiplier
4.1×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield27120$95.05$203.00$710.797.5×
UnitedHealthcare2296$84.00$181.32$870.0010.4×
Aetna2478$95.05$217.12$602.916.3×
Cigna2652$82.00$225.65$488.296.0×
Humana1434$100.53$166.78$403.504.0×
Multiplan1734$196.20$332.00$870.004.4×
Molina929$78.80$108.60$195.842.5×
Medicare Advantage121$127.35$188.34$207.181.6×
meridian718$36.20$135.18$397.3211.0×
advocate employee918$163.51$172.44$181.361.1×
private healthcare systems917$215.80$311.25$369.351.7×
healthlink617$109.16$265.20$695.706.4×
WellCare612$97.69$152.64$188.351.9×
health alliance210$131.48$345.13$579.754.4×
Medicare27$127.35$188.34$188.341.5×
ecoh16$192.41$202.37$219.331.1×
meridian health plan26$97.69$136.62$166.041.7×
prime health services36$128.42$201.50$245.251.9×
deidentifiedhigher25$94.50$240.00$323.203.4×
deidentifiedlower25$94.50$240.00$323.203.4×
grosschargerate25$105.00$300.00$404.003.8×
Medicaid45$97.69$397.32$397.324.1×
paymentrate25$94.50$240.00$323.203.4×
community partners health plan (cphp)34$213.00$236.40$244.801.1×
health partners open network44$183.88$183.88$183.881.0×
deaconess onecare24$135.18$145.99$166.041.2×
hfn14$175.46$194.51$214.651.2×
amerivantage44$138.05$138.05$138.051.0×
umwa23$135.18$135.18$166.041.2×
mychoice wi medical adv13$127.35$188.34$188.341.5×
Self-Pay (Cash)33$114.45$114.45$114.451.0×
alliance coal23$186.55$186.55$273.961.5×
noncontracted23$216.29$216.29$265.661.2×
zelis (hfn)12$484.20$484.20$484.201.0×
alliance premier network12$220.98$227.24$233.491.1×
alter-net medical services, inc.12$216.29$344.75$473.212.2×
care improvement plus22$137.88$153.62$169.361.2×
catepillar, inc.12$457.30$457.30$457.301.0×
county care22$397.32$397.32$397.321.0×
family health plan22$397.32$397.32$397.321.0×
First Health22$294.30$582.15$870.003.0×
harmony health plan22$397.32$397.32$397.321.0×
health's finest network [126]12$391.50$565.50$739.501.9×
illinicare22$397.32$397.32$397.321.0×
mytru advantage12$135.18$150.61$166.041.2×
paymentratepercent22$80.00$85.00$90.001.1×
quartz aso12$221.28$221.97$222.661.0×
quartz fully insured12$212.86$213.53$214.201.0×
the alliance12$228.61$235.08$241.551.1×
humana_hmo_ppo11$357.85$357.85$357.851.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Valley West Community HospitalSandwichIL12$870.00$609.00$165.30$548.10$870.00
Alexian Brothers Behavioral HealthHoffman EstatesIL4$163.18$442.81$488.29
Alexian Brothers Medical CenterElk Grove VillageIL9$374.97$397.32$488.29
St. Alexius Medical CenterHoffman EstatesIL8$374.97$397.32$488.29
Warner Hospital And Health ServicesClintonIL17$421.00$421.00$328.38$357.85$412.58
Presence Saints Mary & Elizabeth MedChicagoIL4$1,261.00$668.33$232.24$348.89$373.92
Kirby HospitalMonticelloIL13$773.00$463.80$95.05$321.72$695.70
Marshall Browning HospitalDuquoinIL6$26.00$270.00$404.00
Presence Saint Joseph Hosp-ChicagoChicagoIL1$1,106.00$364.98$254.10$254.10$375.76
Presence Saint Francis HospitalEvanstonIL1$1,106.00$364.98$254.10$254.10$375.76
Presence St. Marys HospitalKankakeeIL1$1,106.00$364.98$254.10$254.10$375.76
Presence Saint Joseph Hospital ElginElginIL1$1,106.00$364.98$254.10$254.10$375.76
Advocate Sherman HospitalElginIL7$415.00$207.50$105.00$218.29$373.50
Trinity Rock IslandRock IslandIL12$332.00$265.60$131.48$210.06$472.73
Proctor HospitalPeoriaIL8$332.00$265.60$131.48$203.00$272.53
Methodist Medical Ctr Of IllinoisPeoriaIL8$332.00$265.60$131.48$203.00$272.53
Pekin Memorial HospitalPekinIL8$332.00$265.60$131.48$203.00$272.53
Advocate Lutheran General HospitalPark RidgeIL7$415.00$207.50$105.00$202.63$369.35
Advocate Southland HospitalChicagoIL7$415.00$207.50$105.00$202.63$332.00
Advocate Northside Health SystemChicagoIL7$415.00$207.50$105.00$202.63$337.81
Advocate Christ HospitalOak LawnIL7$415.00$207.50$105.00$202.63$332.00
South Suburban HospitalHazelcrestIL7$415.00$207.50$105.00$202.63$404.21
Red Bud Regional HospitalRed BudIL6$327.00$114.45$114.45$196.20$255.06
Condell Medical CenterLibertyvilleIL7$415.00$207.50$105.00$191.94$332.00
Carle Eureka HospitalEurekaIL11$408.00$408.00$39.40$189.12$342.72
Carle Foundation HospitalUrbanaIL11$362.00$362.00$36.20$188.35$307.70
Carle Bromenn Medical CenterNormalIL11$394.00$394.00$39.40$188.35$295.50
Swedishamerican HospitalRockfordIL19$367.00$58.72$97.69$188.34$271.51
Hammond-Henry HospitalGeneseoIL5$90.00$175.50$300.00
Good Shepherd HospitalBarringtonIL7$415.00$207.50$84.00$174.51$332.00
Advocate Good Samaritan HospitalDowners GroveIL7$415.00$207.50$84.00$174.51$332.00
Heartland Regional Medical CenterMarionIL23$327.00$114.45$97.69$166.04$473.21
Union County Hospital DistrictAnnaIL20$327.00$114.45$97.69$135.18$245.25
Gateway RegionalGranite CityIL0$317.50$190.50
Jacksonville Memorial HospitalJacksonvilleIL0$826.00$826.00
Jacksonville Memorial HospitalJacksonvilleIL0$361.00$361.00
Jackson Park HospitalChicagoIL0$449.35$359.48
Anderson HospitalMaryvilleIL0$476.10$238.05
Board Of Trustees Of The UniversityChicagoIL0$841.00$327.60
Memorial Medical CenterSpringfieldIL0$361.00$361.00
Midwest Medical CenterGalenaIL0$299.00$272.09
Decatur Memorial HospitalDecaturIL0$1,088.00$1,088.00
Community Hospital Of StauntonStauntonIL0$436.00$218.00
Washington County HospitalNashvilleIL0$346.00$346.00

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.