CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Macneal Hospital

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$138
about 1.2× the $118 Medicare rate · typically $85–$235
modeled estimate · not a bill or quote
What this hospital charges insurers
$132
About the fair price
about $6 under the fair price · 1.1× Medicare
Medicare pays $118 Fair price $138 This hospital $132 Hospital's list price $132

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 $132

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 $138 (about 1.2× the $118 Medicare rate). Macneal Hospital charges insurers about $132 — about the fair price. Located in Berwyn, 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 $59 - $66 50%
Blue Cross Blue Shieldmajor $27 - $183 23%
Aetnamajor $64 - $132 54%
Cignamajor $43 37%
Humanamajor $446 379%
Meridian $132 112%
Molina $132 112%

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Facility Profile & Credentials

  • Address: 3249 South Oak Park Avenue, Berwyn, IL 60402
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals