CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Saint Anthony Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$169
about 1.2× the $136 Medicare rate · typically $93–$257
modeled estimate · not a bill or quote
What this hospital charges insurers
$65
Below the fair price — a good deal
about $104 under the fair price · 0.5× Medicare
Medicare pays $136 Fair price $169 This hospital $65 Cash price $51 Hospital's list price $170

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

Lowest price of the 9 IL hospitals we have prices for — a strong deal.

Cheapest $65 Priciest $86

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 (30-39 min) is about $169 (about 1.2× the $136 Medicare rate). Saint Anthony Hospital charges insurers about $65, or about $51 in cash — below the fair price — a good deal. Located in Chicago, IL.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna UnitedHealthcareHumanaKaiser 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
Blue Cross Blue Shieldmajor $66 - $81 49%
Aetnamajor $65 - $130 48%
Cignamajor $82 - $87 60%
Health Net $53 - $60 39%
HealthLink $99 - $104 73%
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 2875 West 19Th Street, Chicago, IL 60623
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals