Office visit, established patient (30-39 min)
Facility: Rush University Medical Center
Billing Code: 99214 (CPT)
This hospital's typical commercial price is $215 compared to the $152 fair price benchmark.
5-Star CMS clinical quality rating paired with 1.41× fair market pricing.
Highest price of the 9 IL hospitals we have prices for — worth calling around.
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 $152 (about 1.1× the $136 Medicare rate). Rush University Medical Center charges insurers about $215, or about $108 in cash — above the fair price. Located in Chicago, IL.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $152. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
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
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 | $215 - $290 | 159% |
| Blue Cross Blue Shieldmajor | $215 | 159% |
| Aetnamajor | $93 - $215 | 69% |
| Cignamajor | $88 - $215 | 65% |
| Humanamajor | $215 | 159% |
| Ambetter (Centene) | $123 | 91% |
| Devoted Health | $215 | 159% |
| Meridian | $96 | 71% |
| Molina | $95 - $124 | 70% |
| WellCare | $215 | 159% |
| + 1 smaller / regional plan | $228 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Rush University Medical Center
Compare: Office visit, established patient (30-39 min) at other IL hospitals
- Saint Anthony Hospital · Chicago $65
- Carle Hoopeston Regional Health Center · Hoopeston $71
- Ferrell Hospital Community Foundations · Eldorado $80
- Carle Eureka Hospital · Eureka $82
- Morrison Community Hospital · Morrison $84
- The University of Chicago Medical Center · Chicago $85
- Sarah Bush Lincoln Health Center · Mattoon $86
- Thomas H Boyd Memorial Hospital · Carrollton $86
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Rush University Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $78
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $78).
Self-Pay Cash Rate ($108) Beats Your Bill
Rush University Medical Center's published 45 CFR § 180 self-pay cash rate is $108 (vs. $215 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $152 Fair BaseRate ($136 Medicare)
Your bill ($215) is $63 above the denoised Fair BaseRate ($152) and 1.6× the $136 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.