CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Carle Foundation Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$118
about 0.9× the $136 Medicare rate · typically $93–$132
modeled estimate · not a bill or quote
What this hospital charges insurers
$132
About the fair price
about $14 over the fair price · 1.0× Medicare
Medicare pays $136 Fair price $118 This hospital $132 Cash price $725 Hospital's list price $725

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 $65 Priciest $132

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Office visit, established patient (30-39 min) is about $118 (about 0.9× the $136 Medicare rate). Carle Foundation Hospital charges insurers about $132, or about $725 in cash — about the fair price. Located in Urbana, 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 $132 - $702 97%
Blue Cross Blue Shieldmajor $132 - $737 97%
Aetnamajor $71 - $909 52%
Cignamajor $246 - $885 181%
Humanamajor $69 - $132 51%
HealthLink $268 - $964 198%
Meridian $32 - $132 24%
Molina $94 - $340 69%
WellCare $132 97%
+ 1 smaller / regional plan $185 - $667
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 611 West Park Street, Urbana, IL 61801
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals