CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Saint Francis Hospital-Evanston

Billing Code: 99213 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$121
about 1.3× the $95 Medicare rate · typically $66–$220
modeled estimate · not a bill or quote
What this hospital charges insurers
$62
Below the fair price — a good deal
about $59 under the fair price · 0.7× Medicare
Medicare pays $95 Fair price $121 This hospital $62 Hospital's list price $339

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 $62

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 $121 (about 1.3× the $95 Medicare rate). Saint Francis Hospital-Evanston charges insurers about $62 — below the fair price — a good deal. Located in Evanston, IL.

What each insurance company pays

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

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

✓ UnitedHealthcare Blue Cross Blue ShieldAetnaCignaHumanaKaiser 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 $70 74%
+ 2 smaller / regional plans $62

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Facility Profile & Credentials

  • Address: 355 Ridge Ave, Evanston, IL 60202
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals