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Pick a procedure and (optionally) a state or payer. Rates come from each hospital's federally-mandated machine-readable file.

ProcedureHospital (name or CCN)State

Payer

Rate type

Hospitals

Payers

Negotiated range

$26.00 – $626.00

Negotiated median

$254.89

CPT 99204 Office visit, new patient, 45-59 min · Showing 200 of 1,049 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
Valley West Community Hospital	IL	Chargemaster	N/A	outpatient	gross	$626.00
Washington County Hospital	IL	Chargemaster	N/A	inpatient	gross	$457.00
Washington County Hospital	IL	Chargemaster	N/A	outpatient	gross	$457.00
Anderson Hospital	IL	Chargemaster	N/A	inpatient	gross	$382.20
Anderson Hospital	IL	Chargemaster	N/A	outpatient	gross	$382.20
Washington County Hospital	IL	Chargemaster	N/A	inpatient	gross	$368.00
Washington County Hospital	IL	Chargemaster	N/A	outpatient	gross	$368.00
Warner Hospital And Health Services	IL	Chargemaster	N/A	—	gross	$365.00
Trinity Rock Island	IL	Chargemaster	N/A	both	gross	$362.00
Proctor Hospital	IL	Chargemaster	N/A	both	gross	$362.00
Advocate Good Samaritan Hospital	IL	Chargemaster	N/A	inpatient	gross	$355.00
Advocate Sherman Hospital	IL	Chargemaster	N/A	inpatient	gross	$355.00
Advocate Sherman Hospital	IL	Chargemaster	N/A	outpatient	gross	$355.00
Advocate Southland Hospital	IL	Chargemaster	N/A	outpatient	gross	$355.00
Advocate Southland Hospital	IL	Chargemaster	N/A	inpatient	gross	$355.00
Midwest Medical Center	IL	Chargemaster	N/A	inpatient	gross	$345.00
Midwest Medical Center	IL	Chargemaster	N/A	outpatient	gross	$345.00
Community Hospital Of Staunton	IL	Chargemaster	N/A	inpatient	gross	$316.70
Community Hospital Of Staunton	IL	Chargemaster	N/A	outpatient	gross	$316.70
Valley West Community Hospital	IL	Cash pay	N/A	outpatient	cash	$438.20
Washington County Hospital	IL	Cash pay	N/A	inpatient	cash	$368.00
Washington County Hospital	IL	Cash pay	N/A	outpatient	cash	$368.00
Washington County Hospital	IL	Cash pay	N/A	inpatient	cash	$365.60
Washington County Hospital	IL	Cash pay	N/A	outpatient	cash	$365.60
Warner Hospital And Health Services	IL	Cash pay	N/A	—	cash	$365.00
Midwest Medical Center	IL	Cash pay	N/A	inpatient	cash	$313.95
Midwest Medical Center	IL	Cash pay	N/A	outpatient	cash	$313.95
Washington County Hospital	IL	Cash pay	N/A	inpatient	cash	$294.40
Washington County Hospital	IL	Cash pay	N/A	outpatient	cash	$294.40
Trinity Rock Island	IL	Cash pay	N/A	both	cash	$289.60
Proctor Hospital	IL	Cash pay	N/A	both	cash	$289.60
Anderson Hospital	IL	Cash pay	N/A	inpatient	cash	$191.10
Anderson Hospital	IL	Cash pay	N/A	outpatient	cash	$191.10
Advocate Good Samaritan Hospital	IL	Cash pay	N/A	inpatient	cash	$177.50
Advocate Sherman Hospital	IL	Cash pay	N/A	inpatient	cash	$177.50
Advocate Sherman Hospital	IL	Cash pay	N/A	outpatient	cash	$177.50
Advocate Southland Hospital	IL	Cash pay	N/A	outpatient	cash	$177.50
Advocate Southland Hospital	IL	Cash pay	N/A	inpatient	cash	$177.50
Community Hospital Of Staunton	IL	Cash pay	N/A	inpatient	cash	$158.35
Community Hospital Of Staunton	IL	Cash pay	N/A	outpatient	cash	$158.35
Anderson Hospital	IL	[De-identified Min]	—	outpatient	min	$22,500
Community Hospital Of Staunton	IL	[De-identified Min]	—	outpatient	min	$362.01
Anderson Hospital	IL	[De-identified Min]	—	inpatient	min	$286.65
Warner Hospital And Health Services	IL	[de-identified min]	—	—	min	$284.70
Community Hospital Of Staunton	IL	[De-identified Min]	—	inpatient	min	$269.20
Midwest Medical Center	IL	[De-identified Min]	—	outpatient	min	$245.97
Community Hospital Of Staunton	IL	[De-identified Min]	—	outpatient	min	$158.35
Advocate Good Samaritan Hospital	IL	[De-identified Min]	—	inpatient	min	$155.14
Advocate Sherman Hospital	IL	[De-identified Min]	—	inpatient	min	$155.14
Advocate Southland Hospital	IL	[De-identified Min]	—	inpatient	min	$155.14
Trinity Rock Island	IL	[De-identified Min]	—	both	min	$121.61
Proctor Hospital	IL	[De-identified Min]	—	both	min	$121.61
Valley West Community Hospital	IL	[De-identified Min]	—	outpatient	min	$118.94
Advocate Sherman Hospital	IL	[De-identified Min]	—	outpatient	min	$105.00
Advocate Southland Hospital	IL	[De-identified Min]	—	outpatient	min	$105.00
Washington County Hospital	IL	[De-identified Min]	—	inpatient	min	$96.81
Washington County Hospital	IL	[De-identified Min]	—	outpatient	min	$96.81
Community Hospital Of Staunton	IL	[De-identified Min]	—	outpatient	min	$91.56
Kirby Hospital	IL	[De-identified Min]	—	both	min	$88.36
Valley West Community Hospital	IL	First Health	VWH NON-CONTRACTED PAYORS	outpatient	negotiated	$626.00
Valley West Community Hospital	IL	Multiplan	VWH NON-CONTRACTED PAYORS	outpatient	negotiated	$626.00
Valley West Community Hospital	IL	UnitedHealthcare	VWH UHC NON-CONTRACTED OON - ED ONLY	outpatient	negotiated	$626.00
Valley West Community Hospital	IL	Multiplan	VWH MULTIPLAN	outpatient	negotiated	$547.75
Valley West Community Hospital	IL	health's finest network [126]	VWH HFN	outpatient	negotiated	$532.10
Valley West Community Hospital	IL	Blue Cross Blue Shield	VWH BCBS PPO	outpatient	negotiated	$511.44
Valley West Community Hospital	IL	Multiplan	VWH PHCS	outpatient	negotiated	$500.80
Valley West Community Hospital	IL	healthlink [125]	VWH SEIU HEALTHLINK	outpatient	negotiated	$469.50
Valley West Community Hospital	IL	Aetna	VWH AETNA ASA	outpatient	negotiated	$433.82
Valley West Community Hospital	IL	choicecare [177]	VWH CHOICE CARE	outpatient	negotiated	$421.92
Hammond-Henry Hospital	IL	grosschargerate	—	—	negotiated	$410.00
Valley West Community Hospital	IL	Aetna	VWH AETNA	outpatient	negotiated	$409.40
Valley West Community Hospital	IL	Blue Cross Blue Shield	VWH BCBS HMO	outpatient	negotiated	$407.84
Marshall Browning Hospital	IL	grosschargerate	—	—	negotiated	$395.00
Valley West Community Hospital	IL	Blue Cross Blue Shield	VWH BCBS BLUECHOICE PREFERRED	outpatient	negotiated	$394.38
Valley West Community Hospital	IL	Blue Cross Blue Shield	VWH BCBS BLUECHOICE OPTIONS	outpatient	negotiated	$378.10
Valley West Community Hospital	IL	Blue Cross Blue Shield	VWH BCBS BLUECHOICE SELECT	outpatient	negotiated	$378.10
Hammond-Henry Hospital	IL	paymentrate	—	—	negotiated	$369.00
Hammond-Henry Hospital	IL	deidentifiedlower	—	—	negotiated	$369.00
Hammond-Henry Hospital	IL	deidentifiedhigher	—	—	negotiated	$369.00
Warner Hospital And Health Services	IL	bcbs_ppo_blue_choice_preferred	—	—	negotiated	$357.70
Valley West Community Hospital	IL	Blue Cross Blue Shield	VWH BCBS PAR/INDEMNITY ADP	outpatient	negotiated	$349.93
Warner Hospital And Health Services	IL	bcbs_blue_choice_ppo_options	—	—	negotiated	$346.75
Warner Hospital And Health Services	IL	three_rivers_provider_network	—	—	negotiated	$346.75
Valley West Community Hospital	IL	the alliance [1703]	VWH THE ALLIANCE	outpatient	negotiated	$340.23
Marshall Browning Hospital	IL	grosschargerate	—	—	negotiated	$333.00
Warner Hospital And Health Services	IL	consociate_care_ppo	—	—	negotiated	$328.50
Warner Hospital And Health Services	IL	hfn_ppo_epo	—	—	negotiated	$328.50
Warner Hospital And Health Services	IL	health_alliance	—	—	negotiated	$321.20
Warner Hospital And Health Services	IL	healthlink_ppo_work_comp	—	—	negotiated	$321.20
Advocate Sherman Hospital	IL	Multiplan	Commercial	inpatient	negotiated	$319.50
Advocate Sherman Hospital	IL	Multiplan	Commercial	outpatient	negotiated	$319.50
Marshall Browning Hospital	IL	paymentrate	—	—	negotiated	$316.00
Marshall Browning Hospital	IL	deidentifiedlower	—	—	negotiated	$316.00
Marshall Browning Hospital	IL	deidentifiedhigher	—	—	negotiated	$316.00
Warner Hospital And Health Services	IL	aetna_hmo_select	—	—	negotiated	$310.25
Warner Hospital And Health Services	IL	aetna_ppo	—	—	negotiated	$310.25
Warner Hospital And Health Services	IL	caterpillar	—	—	negotiated	$310.25
Warner Hospital And Health Services	IL	humana_hmo_ppo	—	—	negotiated	$310.25
Warner Hospital And Health Services	IL	multiplan_phcs	—	—	negotiated	$310.25
Warner Hospital And Health Services	IL	united_healthcare	—	—	negotiated	$310.25
Warner Hospital And Health Services	IL	Cigna	—	—	negotiated	$302.95
Valley West Community Hospital	IL	Cigna	VWH CIGNA BROAD	outpatient	negotiated	$302.36
Warner Hospital And Health Services	IL	humana_hmox	—	—	negotiated	$295.65
Warner Hospital And Health Services	IL	city_of_clinton_7_1_21	—	—	negotiated	$292.00
Proctor Hospital	IL	UnitedHealthcare	HMO	both	negotiated	$288.21
Advocate Sherman Hospital	IL	private healthcare systems	Commercial	outpatient	negotiated	$287.55
Warner Hospital And Health Services	IL	healthlink_hmo	—	—	negotiated	$284.70
Advocate Southland Hospital	IL	Multiplan	Commercial	inpatient	negotiated	$284.00
Advocate Southland Hospital	IL	Multiplan	Commercial	outpatient	negotiated	$284.00
Advocate Southland Hospital	IL	private healthcare systems	Commercial	outpatient	negotiated	$284.00
Valley West Community Hospital	IL	Cigna	VWH CIGNA ALTERNATIVE	outpatient	negotiated	$283.58
Valley West Community Hospital	IL	health's finest network [126]	VWH HFN NMH TIER ONE	outpatient	negotiated	$281.70
Carle Foundation Hospital	IL	healthlink	PPO	outpatient	negotiated	$267.75
Hammond-Henry Hospital	IL	grosschargerate	—	—	negotiated	$267.00
Marshall Browning Hospital	IL	paymentrate	—	—	negotiated	$266.40
Marshall Browning Hospital	IL	deidentifiedlower	—	—	negotiated	$266.40
Marshall Browning Hospital	IL	deidentifiedhigher	—	—	negotiated	$266.40
Proctor Hospital	IL	Aetna	HMO	both	negotiated	$259.76
Advocate Southland Hospital	IL	Blue Cross Blue Shield	HMO	outpatient	negotiated	$254.89
Trinity Rock Island	IL	Aetna	HMO	both	negotiated	$254.67
Proctor Hospital	IL	Cigna	Commercial	both	negotiated	$251.15
Advocate Southland Hospital	IL	Blue Cross Blue Shield	Managed Care	outpatient	negotiated	$250.28
Hammond-Henry Hospital	IL	paymentrate	—	—	negotiated	$240.30
Hammond-Henry Hospital	IL	deidentifiedlower	—	—	negotiated	$240.30
Hammond-Henry Hospital	IL	deidentifiedhigher	—	—	negotiated	$240.30
Advocate Southland Hospital	IL	private healthcare systems	Commercial	inpatient	negotiated	$220.10
Valley West Community Hospital	IL	Aetna	VWH AETNA IL PREFERRED	outpatient	negotiated	$217.85
Proctor Hospital	IL	health partners open network	Commercial	both	negotiated	$214.84
Advocate Sherman Hospital	IL	UnitedHealthcare	HMO	outpatient	negotiated	$213.00
Advocate Sherman Hospital	IL	Blue Cross Blue Shield	HMO	outpatient	negotiated	$206.97
Advocate Sherman Hospital	IL	Aetna	Commercial	outpatient	negotiated	$205.44
Advocate Sherman Hospital	IL	Blue Cross Blue Shield	Managed Care	outpatient	negotiated	$203.06
Advocate Sherman Hospital	IL	UnitedHealthcare	Commercial	outpatient	negotiated	$191.70
Advocate Southland Hospital	IL	Aetna	Commercial	outpatient	negotiated	$191.52
Advocate Sherman Hospital	IL	UnitedHealthcare	Commercial	outpatient	negotiated	$186.73
Carle Foundation Hospital	IL	Aetna	Medicare Advantage PPO	outpatient	negotiated	$178.19
Swedishamerican Hospital	IL	Aetna	Aetna Better Health Dual	outpatient	negotiated	$174.69
Swedishamerican Hospital	IL	Aetna	Aetna Better Health Dual	both	negotiated	$174.69
Swedishamerican Hospital	IL	Medicare	Clear Spring Health of IL MC	outpatient	negotiated	$174.69
Swedishamerican Hospital	IL	Medicare	Clear Spring Health of IL MC	both	negotiated	$174.69
Swedishamerican Hospital	IL	Medicare Advantage	Community Care	outpatient	negotiated	$174.69
Swedishamerican Hospital	IL	Medicare Advantage	Community Care	both	negotiated	$174.69
Swedishamerican Hospital	IL	Medicare Advantage	Medical Associates Medicare Adv	outpatient	negotiated	$174.69
Swedishamerican Hospital	IL	Medicare Advantage	Medical Associates Medicare Adv	both	negotiated	$174.69
Swedishamerican Hospital	IL	Humana	PPO/PFFS/HMO/Dual	outpatient	negotiated	$174.69
Swedishamerican Hospital	IL	Humana	PPO/PFFS/HMO/Dual	both	negotiated	$174.69
Swedishamerican Hospital	IL	Medicare	Deancare	outpatient	negotiated	$174.69
Swedishamerican Hospital	IL	Medicare	Deancare	both	negotiated	$174.69
Advocate Sherman Hospital	IL	UnitedHealthcare	Commercial	outpatient	negotiated	$168.63
Valley West Community Hospital	IL	Aetna	VWH AETNA NM EMPLOYEES	outpatient	negotiated	$159.00
Advocate Sherman Hospital	IL	advocate employee	Commercial	inpatient	negotiated	$155.14
Hammond-Henry Hospital	IL	grosschargerate	—	—	negotiated	$144.00
Kirby Hospital	IL	Aetna	Commercial/HMO/PPO	both	negotiated	$141.02
Advocate Sherman Hospital	IL	advocate employee	Commercial	outpatient	negotiated	$139.87
Advocate Sherman Hospital	IL	Blue Cross Blue Shield	PPO	outpatient	negotiated	$131.24
Hammond-Henry Hospital	IL	paymentrate	—	—	negotiated	$129.60
Hammond-Henry Hospital	IL	deidentifiedlower	—	—	negotiated	$129.60
Hammond-Henry Hospital	IL	deidentifiedhigher	—	—	negotiated	$129.60
Proctor Hospital	IL	amerivantage	Medicare Advantage	both	negotiated	$127.69
Proctor Hospital	IL	Humana	Medicare Advantage	both	negotiated	$127.69
Proctor Hospital	IL	UnitedHealthcare	Medicare Advantage	both	negotiated	$127.69
Advocate Sherman Hospital	IL	Blue Cross Blue Shield	Commercial	outpatient	negotiated	$124.68
Proctor Hospital	IL	Molina	Medicare Advantage	both	negotiated	$124.04
Proctor Hospital	IL	Aetna	Medicare Advantage	both	negotiated	$121.61
Swedishamerican Hospital	IL	Aetna	Aetna Better Health Dual	inpatient	negotiated	$119.50
Swedishamerican Hospital	IL	Medicare	Clear Spring Health of IL MC	inpatient	negotiated	$119.50
Swedishamerican Hospital	IL	Medicare Advantage	Medical Associates Medicare Adv	inpatient	negotiated	$119.50
Swedishamerican Hospital	IL	Medicare Advantage	Community Care	inpatient	negotiated	$119.50
Swedishamerican Hospital	IL	Humana	PPO/PFFS/HMO/Dual	inpatient	negotiated	$119.50
Swedishamerican Hospital	IL	Medicare	Deancare	inpatient	negotiated	$119.50
Valley West Community Hospital	IL	Blue Cross Blue Shield	VWH BLUE CROSS MEDICARE ADVT	outpatient	negotiated	$118.94
Valley West Community Hospital	IL	Humana	VWH MEDICARE	outpatient	negotiated	$118.94
Valley West Community Hospital	IL	global excel [1712]	VWH MEDICARE	outpatient	negotiated	$118.94
Advocate Sherman Hospital	IL	Blue Cross Blue Shield	Commercial	outpatient	negotiated	$115.38
Advocate Sherman Hospital	IL	Cigna	Commercial	outpatient	negotiated	$111.00
Advocate Sherman Hospital	IL	Cigna	Commercial	outpatient	negotiated	$105.00
Hammond-Henry Hospital	IL	paymentratepercent	—	—	negotiated	$90.00
Marshall Browning Hospital	IL	paymentratepercent	—	—	negotiated	$80.00
Marshall Browning Hospital	IL	cptmodifier	—	—	negotiated	$26.00
Anderson Hospital	IL	[De-identified Max]	—	outpatient	max	$50,000
Valley West Community Hospital	IL	[De-identified Max]	—	outpatient	max	$626.00
Washington County Hospital	IL	[De-identified Max]	—	inpatient	max	$411.30
Washington County Hospital	IL	[De-identified Max]	—	outpatient	max	$411.30
Anderson Hospital	IL	[De-identified Max]	—	outpatient	max	$382.20
Community Hospital Of Staunton	IL	[De-identified Max]	—	outpatient	max	$362.01
Warner Hospital And Health Services	IL	[de-identified max]	—	—	max	$357.70
Anderson Hospital	IL	[De-identified Max]	—	inpatient	max	$343.98
Midwest Medical Center	IL	[De-identified Max]	—	outpatient	max	$339.86
Advocate Sherman Hospital	IL	[De-identified Max]	—	inpatient	max	$319.50
Advocate Sherman Hospital	IL	[De-identified Max]	—	outpatient	max	$319.50
Community Hospital Of Staunton	IL	[De-identified Max]	—	outpatient	max	$316.70
Trinity Rock Island	IL	[De-identified Max]	—	both	max	$288.21
Proctor Hospital	IL	[De-identified Max]	—	both	max	$288.21
Community Hospital Of Staunton	IL	[De-identified Max]	—	inpatient	max	$288.20
Community Hospital Of Staunton	IL	[De-identified Max]	—	outpatient	max	$288.20
Advocate Good Samaritan Hospital	IL	[De-identified Max]	—	inpatient	max	$284.00
Advocate Southland Hospital	IL	[De-identified Max]	—	outpatient	max	$284.00
Advocate Southland Hospital	IL	[De-identified Max]	—	inpatient	max	$284.00
Anderson Hospital	IL	[De-identified Max]	—	outpatient	max	$178.89
Kirby Hospital	IL	[De-identified Max]	—	both	max	$178.05

Rates are point-in-time snapshots from each hospital's machine-readable file. Payers can negotiate different rates for different plans within the same network — this view shows the latest snapshot per (hospital, payer, plan, rate type).