Office visit, established patient (20-29 min)
Facility: St Anthonys Memorial Hospital
Billing Code: 99213 (CPT)
Highest price of the 9 IL hospitals we have prices for — worth calling around.
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 $94 (about 1.0× the $95 Medicare rate). St Anthonys Memorial Hospital charges insurers about $94, or about $247 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
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 | $275 - $343 | 289% |
| Blue Cross Blue Shieldmajor | $343 | 360% |
| Aetnamajor | $225 - $241 | 236% |
| Cignamajor | $271 - $343 | 285% |
| HealthLink | $273 - $343 | 287% |
| + 13 smaller / regional plans | $94 - $343 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at St Anthonys Memorial Hospital
Compare: Office visit, established patient (20-29 min) at other IL hospitals
- Carle Hoopeston Regional Health Center · Hoopeston $48
- Memorial Hospital · Carthage $49
- Ferrell Hospital Community Foundations · Eldorado $52
- Sarah Bush Lincoln Health Center · Mattoon $58
- Kirby Medical Center · Monticello $58
- Morrison Community Hospital · Morrison $58
- Riverside Medical Center · Kankakee $60
- Washington County Hospital · Nashville $60
Insurance negotiated median for the same procedure, sorted lowest first.