CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Mt Sinai Hospital Medical Center

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$88
about 0.9× the $95 Medicare rate · typically $65–$150
modeled estimate · not a bill or quote
What this hospital charges insurers
$64
Below the fair price — a good deal
about $24 under the fair price · 0.7× Medicare
Medicare pays $95 Fair price $88 This hospital $64 Cash price $169 Hospital's list price $241

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

Highest price of the 9 IL hospitals we have prices for — worth calling around.

Cheapest $48 Priciest $64

Black dot = this hospital, among the 9 IL hospitals with a price for this procedure. Full list below.

A fair price for a Office visit, established patient (20-29 min) is about $88 (about 0.9× the $95 Medicare rate). Mt Sinai Hospital Medical Center charges insurers about $64, or about $169 in cash — below the fair price — a good deal. Located in Chicago, IL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $62 - $154 65%
Blue Cross Blue Shieldmajor $58 - $212 61%
Aetnamajor $335 - $753 352%
Cignamajor $58 - $412 61%
Humanamajor $62 - $1,046 65%
Ambetter (Centene) $68 - $350 71%
Health Net $60 63%
HealthLink $96 - $217 101%
Meridian $62 65%
Molina $65 68%
Oscar Health $163 - $367 171%
+ 10 smaller / regional plans $59 - $200
Government programs also on file: Military & VA.
Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 15Th Street at California, Chicago, IL 60608
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals