Office visit, new patient, 45-59 min in Illinois

What Illinois hospitals charge for office visit, new patient, 45-59 min (CPT 99204). Rates sourced from federally-mandated machine-readable files.

Hospitals
44
Rate rows
1,049
Neg. median
$188.8
Min
$26
Max
$626
Cash median
$281.16

Across 44 Illinois hospitals, the negotiated rate for Office visit, new patient, 45-59 min ranges from $26 to $626, with a median of $188.8. The interquartile range is $127.69 to $284. Cash-pay patients typically pay $281.16; gross charges median $384.

By payer in Illinois

Top 30 payers for Office visit, new patient, 45-59 min in Illinois.

PayerHospitalsRatesMedian rate
Blue Cross Blue Shield27120$188.8
Cigna2652$179.63
Aetna2478$191.52
UnitedHealthcare2289$174.69
Multiplan1731$284
Humana1434$156.86
advocate employee918$147.51
private healthcare systems917$266.25
Molina926$106
meridian718$126.39
healthlink614$300.95
WellCare612$141.98
amerivantage44$127.69
health partners open network44$214.84
Medicaid45$454.08
community partners health plan (cphp)34$297.9
prime health services36$211.42
Self-Pay (Cash)33$129.15
deidentifiedlower25$266.4
alliance coal23$174.42
noncontracted23$202.22
meridian health plan26$127.04
Medicare27$174.69
paymentrate25$266.4
county care22$454.08
health alliance24$229.73
deaconess onecare24$136.5
deidentifiedhigher25$266.4
illinicare22$454.08
First Health22$479.05

Hospital comparison — Office visit, new patient, 45-59 min in Illinois

Sorted by lowest negotiated median rate. Up to 100 hospitals.

HospitalCityNegotiated medianCash rateGross charge
Union County Hospital DistrictAnna$128.08$129.15$369
Heartland Regional Medical CenterMarion$153.78$129.15$369
Advocate Good Samaritan HospitalDowners Grove$160.57$177.5$355
Good Shepherd HospitalBarrington$160.57$177.5$355
Condell Medical CenterLibertyville$169.62$177.5$355
Advocate Northside Health SystemChicago$173.33$177.5$355
Advocate Southland HospitalChicago$173.33$177.5$355
South Suburban HospitalHazelcrest$173.33$177.5$355
Advocate Lutheran General HospitalPark Ridge$173.33$177.5$355
Advocate Christ HospitalOak Lawn$173.33$177.5$355
Swedishamerican HospitalRockford$174.69$61.98$387.35
Carle Foundation HospitalUrbana$174.69$315$315
Carle Bromenn Medical CenterNormal$174.69$530$530
Alexian Brothers Behavioral HealthHoffman Estates$179.63
Advocate Sherman HospitalElgin$186.73$177.5$355
Proctor HospitalPeoria$188.8$289.6$362
Pekin Memorial HospitalPekin$188.8$289.6$362
Methodist Medical Ctr Of IllinoisPeoria$188.8$289.6$362
Red Bud Regional HospitalRed Bud$221.4$129.15$369
Trinity Rock IslandRock Island$233$289.6$362
Carle Eureka HospitalEureka$238.5$496.5$496.5
Hammond-Henry HospitalGeneseo$240.3
Presence St. Marys HospitalKankakee$290.4$281.16$852
Presence Saint Joseph Hosp-ChicagoChicago$290.4$281.16$852
Presence Saint Francis HospitalEvanston$290.4$281.16$852
Presence Saint Joseph Hospital ElginElgin$290.4$281.16$852
Marshall Browning HospitalDuquoin$291.2
Warner Hospital And Health ServicesClinton$310.25$365$365
Kirby HospitalMonticello$323.34$303.6$506
Presence Saints Mary & Elizabeth MedChicago$390.43
Valley West Community HospitalSandwich$394.38$438.2$626
St. Alexius Medical CenterHoffman Estates$454.08
Alexian Brothers Medical CenterElk Grove Village$454.08
Community Hospital Of StauntonStaunton$158.35$316.7
Washington County HospitalNashville$365.6$412.5
Decatur Memorial HospitalDecatur$500$500
Memorial Medical CenterSpringfield$384$384
Board Of Trustees Of The UniversityChicago$279.2$624
Jacksonville Memorial HospitalJacksonville$384$384
Jacksonville Memorial HospitalJacksonville$522.5$522.5
Gateway RegionalGranite City$173.81$289.69
Jackson Park HospitalChicago$357.81$447.26
Midwest Medical CenterGalena$313.95$345
Anderson HospitalMaryville$201.73$403.45