CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Holy Family Medical Center

Billing Code: 99213 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$103
about 1.1× the $95 Medicare rate · typically $59–$247
modeled estimate · not a bill or quote
What this hospital charges insurers
$66
Below the fair price — a good deal
about $37 under the fair price · 0.7× Medicare
Medicare pays $95 Fair price $103 This hospital $66 Hospital's list price $339

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 $66

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 $103 (about 1.1× the $95 Medicare rate). Holy Family Medical Center charges insurers about $66 — below the fair price — a good deal. Located in Des Plaines, IL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

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

✓ UnitedHealthcare✓ Cigna Blue Cross Blue ShieldAetnaHumanaKaiser 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 $70 74%
Cignamajor $339 356%
+ 2 smaller / regional plans $62

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Facility Profile & Credentials

  • Address: 100 N River Rd, Des Plaines, IL 60016
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL