CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Presence Saints Mary and Elizabeth Medical Center

Billing Code: 99214 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$165
about 1.2× the $136 Medicare rate · typically $95–$290
modeled estimate · not a bill or quote
What this hospital charges insurers
$91
Below the fair price — a good deal
about $74 under the fair price · 0.7× Medicare
Medicare pays $136 Fair price $165 This hospital $91 Hospital's list price $852

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 $91

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 $165 (about 1.2× the $136 Medicare rate). Presence Saints Mary and Elizabeth Medical Center charges insurers about $91 — 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.

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

✓ UnitedHealthcare Blue Cross Blue ShieldAetnaCignaHumanaKaiser 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 $103 76%
+ 2 smaller / regional plans $91

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Facility Profile & Credentials

  • Address: 2233 W Division St, Chicago, IL 60622
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals