Office visit, established patient (30-39 min)
Facility: Shirley Ryan Abilitylab
Billing Code: 99214 (CPT)
- CPT Billing Code: 99214
- Insurance Median: $200
- Cash Discount Price: $184
- vs. Medicare Baseline: 1.47x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $135.6 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Cigna | $65 | 48% |
| Blue Cross Blue Shield | $143 - $367 | 105% |
| Health Care Services Corporation | $147 | 108% |
| Hfn | $155 - $276 | 114% |
| Corvel Corporation | $160 | 118% |
| Coventry Workers Comp | $160 | 118% |
| Multiplan | $160 | 118% |
| Personalcare Insurance Of Il/Firsthealth Grp Corp/Coventryhealth And Life Insurance Co | $163 - $261 | 120% |
| State Of Illinois | $163 | 120% |
| Aetna | $164 - $367 | 121% |
| Uic Physician Group | $169 | 125% |
| Uic Physician Group-Campuscare | $169 | 125% |
| Union Health Service | $172 | 127% |
| UnitedHealthcare | $177 | 131% |
| Affordable Health Care Concepts | $185 | 136% |
| Loyola University Physician Foundation | $200 | 147% |
| Paradigm Health Corporation | $200 | 147% |
| University Of Chicago Practice Plan | $200 | 147% |
| Advocate And Advocate Health Partners | $215 | 159% |
| Gallagher Benefit Administrators | $230 | 170% |
| Health Care Services Corporation D/B/A Hmo Illinois | $239 | 176% |
| Unicare Life And Health Insurance | $239 | 176% |
| Private Healthcare Systems | $246 | 181% |
| Resurrection Health Care Preferred | $246 | 181% |
| Cofinity Aka Ppom | $261 | 192% |
| Health Payors Organization | $261 | 192% |
| Health Care Services Corporation Dba Managed Care Network Preferred | $273 | 201% |
| Healthnetwork | $292 | 215% |
| Meridian Health Plan | $307 | 226% |
| County Care | $367 | 271% |