CMS Price Transparency Data

Review of medical records for care

Facility: University of Illinois Hospital and Clinics

Billing Code: 90889 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90889
Insurance Median: $114
Cash Discount Price: $50
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Review of medical records for care at University of Illinois Hospital and Clinics is $114. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $50. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 1740 West Taylor St Suite 1400, Chicago, IL.

Cash / Self-Pay

$50

Average discount available for prompt cash payment at this facility.

Insurance Median

$114

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

N/A

Standard federal government reimbursement rate for this code.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Coventry	$72	N/A
United	$93 - $104	N/A
Cigna	$113	N/A
Aetna	$114 - $122	N/A
Blue Cross Blue Shield	$114	N/A
County Care Health Plan	$114	N/A
Meridian	$114	N/A
Molina	$114	N/A
Youthcare Healthchoice	$114	N/A
Equian	$139	N/A
Multiplan	$139	N/A
Zelis	$139	N/A
Integrated Health Plan	$153	N/A

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $50.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90889.

Insurance In-Network Protection Plan

Contact your insurance company to confirm University of Illinois Hospital and Clinics is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90889.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.