CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Shriners Hospital for Children

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$118
about 1.0× the $118 Medicare rate · typically $88–$246
modeled estimate · not a bill or quote
What this hospital charges insurers
$116
About the fair price
about $2 under the fair price · 1.0× Medicare
Medicare pays $118 Fair price $118 This hospital $116 Cash price $319 Hospital's list price $319

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 $60 Priciest $116

Black dot = this hospital, among the 9 IL hospitals with a price for this procedure. Full list below.

A fair price for a New patient office visit (30-44 min) is about $118 (about 1.0× the $118 Medicare rate). Shriners Hospital for Children charges insurers about $116, or about $319 in cash — about the fair price. 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.

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

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $116 - $177 99%
Aetnamajor $79 67%
Ambetter (Centene) $91 77%
+ 2 smaller / regional plans $110 - $139
Government programs also on file: Medicaid.

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Facility Profile & Credentials

  • Address: 2211 North Oak Park Ave, Chicago, IL 60707
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens