CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Advocate Good Samaritan Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$136
about 1.4× the $95 Medicare rate · typically $68–$219
modeled estimate · not a bill or quote
What this hospital charges insurers
$111
Below the fair price — a good deal
about $25 under the fair price · 1.2× Medicare
Medicare pays $95 Fair price $136 This hospital $111 Cash price $148 Hospital's list price $295

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 $48 Priciest $111

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 $136 (about 1.4× the $95 Medicare rate). Advocate Good Samaritan Hospital charges insurers about $111, or about $148 in cash — below the fair price — a good deal. Located in Downers Grove, 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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $84 - $204 88%
Blue Cross Blue Shieldmajor $111 - $232 117%
Aetnamajor $159 167%
Cignamajor $105 - $165 110%
+ 1 smaller / regional plan $116 - $129
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 3815 Highland Avenue, Downers Grove, IL 60515
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals