Office visit, established patient (20-29 min)
Facility: Carle Health Pekin Hospital
Billing Code: 99213 (CPT)
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 (20-29 min) is about $87 (about 0.9× the $95 Medicare rate). Carle Health Pekin Hospital charges insurers about $93 — about the fair price. Located in Pekin, IL.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 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 | $68 - $93 | 71% |
| Blue Cross Blue Shieldmajor | $93 | 98% |
| Aetnamajor | $48 | 50% |
| Humanamajor | $46 - $93 | 48% |
| Meridian | $107 | 112% |
| Molina | $93 | 98% |
| WellCare | $93 | 98% |
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 Carle Health Pekin 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.