CMS Price Transparency Data
Office visit, established patient (20-29 min)
Facility: Macneal Hospital
Billing Code: 99213 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$99
about 1.0× the $95 Medicare rate · typically $61–$176
modeled estimate · not a bill or quote
Medicare pays $95 Fair price $99 Hospital's list price $101
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 | $13 - $72 | 14% |
| Blue Cross Blue Shieldmajor | $11 - $201 | 12% |
| Aetnamajor | $14 - $145 | 15% |
| Cignamajor | $23 - $48 | 24% |
| Humanamajor | $361 | 379% |
| Meridian | $29 - $145 | 30% |
| Molina | $29 - $145 | 30% |
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Macneal 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.