CMS Price Transparency Data
New patient office visit (30-44 min)
Facility: Pinckneyville Community Hospital
Billing Code: 99203 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$89
about 0.8× the $118 Medicare rate · typically $69–$176
modeled estimate · not a bill or quote
Medicare pays $118 Fair price $89 Cash price $322 Hospital's list price $322
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
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 | $80 - $738 | 68% |
| Blue Cross Blue Shieldmajor | $71 - $648 | 60% |
| Aetnamajor | $71 - $810 | 60% |
| Cignamajor | $88 - $742 | 75% |
| Humanamajor | $83 - $333 | 71% |
| Ambetter (Centene) | $71 | 60% |
| HealthLink | $75 - $706 | 64% |
| WellCare | $294 - $333 | 250% |
| + 1 smaller / regional plan | $294 - $333 |
Government programs also on file: Medicaid.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Pinckneyville Community Hospital
Compare: New patient office visit (30-44 min) at other IL hospitals
- Carle Eureka Hospital · Eureka $60
- Carle Hoopeston Regional Health Center · Hoopeston $60
- Sarah Bush Lincoln Health Center · Mattoon $73
- Kirby Medical Center · Monticello $73
- Thomas H Boyd Memorial Hospital · Carrollton $75
- Riverside Medical Center · Kankakee $76
- Washington County Hospital · Nashville $76
- Jacksonville Memorial Hospital · Jacksonville $76
Insurance negotiated median for the same procedure, sorted lowest first.