CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: St Anthonys Memorial Hospital

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$115
about 1.0× the $118 Medicare rate · typically $87–$206
modeled estimate · not a bill or quote
What this hospital charges insurers
$116
About the fair price
about $1 over the fair price · 1.0× Medicare
Medicare pays $118 Fair price $115 This hospital $116 Cash price $310 Hospital's list price $431

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 $60 Priciest $116

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

A fair price for a New patient office visit (30-44 min) is about $115 (about 1.0× the $118 Medicare rate). St Anthonys Memorial Hospital charges insurers about $116, or about $310 in cash — about the fair price. Located in Effingham, IL.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $346 - $431 294%
Blue Cross Blue Shieldmajor $431 367%
Aetnamajor $282 - $303 240%
Cignamajor $340 - $431 289%
HealthLink $343 - $431 292%
+ 13 smaller / regional plans $116 - $431
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 503 N Maple Street, Effingham, IL 62401
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals