Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
H OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30-39 MIN
Chicago, IL
See all hospitals reporting CPT 99214 →Price type
Ann & Robert H. Lurie Children's Hospital of Chicago’s median price of $501 is 215% above the median hospital's median price ($159), higher than 96% of the 2,010 hospitals reporting CPT 99214. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 40 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Medicare medicare percent of total billed charges · outpatientfrom % of charges | $106.42 | $106.42 | $106.42 – $106.42 |
| 2 | Cigna cigna local plus percent of total billed charges · inpatientfrom % of charges | $262.92 | $262.92 | $262.92 – $262.92 |
| 3 | Cigna cigna local plus percent of total billed charges · outpatientfrom % of charges | $262.92 | $262.92 | $262.92 – $262.92 |
| 4 | Aetna aetna northwestern percent of total billed charges · inpatientfrom % of charges | $313.00 | $313.00 | $313.00 – $313.00 |
| 5 | Aetna aetna northwestern percent of total billed charges · outpatientfrom % of charges | $313.00 | $313.00 | $313.00 – $313.00 |
| 6 | Aetna aetna illinois preferred percent of total billed charges · inpatientfrom % of charges | $331.78 | $331.78 | $331.78 – $331.78 |
| 7 | Aetna aetna illinois preferred percent of total billed charges · outpatientfrom % of charges | $331.78 | $331.78 | $331.78 – $331.78 |
| 8 | Blue Cross Blue Shield unified physicians network percent of total billed charges · outpatientfrom % of charges | $350.56 | $350.56 | $350.56 – $350.56 |
| 9 | Cigna cigna c-5 percent of total billed charges · inpatientfrom % of charges | $360.58 | $360.58 | $360.58 – $360.58 |
| 10 | Cigna cigna c-5 percent of total billed charges · outpatientfrom % of charges | $360.58 | $360.58 | $360.58 – $360.58 |
| 11 | Blue Cross Blue Shield dupage medical group percent of total billed charges · inpatientfrom % of charges | $375.60 | $375.60 | $375.60 – $375.60 |
| 12 | Blue Cross Blue Shield dupage medical group percent of total billed charges · outpatientfrom % of charges | $375.60 | $375.60 | $375.60 – $375.60 |
| 13 | Blue Cross Blue Shield northwestern medicine physician network ipa percent of total billed charges · inpatientfrom % of charges | $375.60 | $375.60 | $375.60 – $375.60 |
| 14 | Blue Cross Blue Shield northwestern medicine physician network ipa percent of total billed charges · outpatientfrom % of charges | $375.60 | $375.60 | $375.60 – $375.60 |
| 15 | Blue Cross Blue Shield northshore physician associates percent of total billed charges · inpatientfrom % of charges | $406.90 | $406.90 | $406.90 – $406.90 |
| 16 | Blue Cross Blue Shield northshore physician associates percent of total billed charges · outpatientfrom % of charges | $406.90 | $406.90 | $406.90 – $406.90 |
| 17 | Blue Cross Blue Shield illinois health partners percent of total billed charges · inpatientfrom % of charges | $438.20 | $438.20 | $438.20 – $438.20 |
| 18 | Blue Cross Blue Shield illinois health partners percent of total billed charges · outpatientfrom % of charges | $438.20 | $438.20 | $438.20 – $438.20 |
| 19 | Blue Cross Blue Shield lake county physician association percent of total billed charges · inpatientfrom % of charges | $438.20 | $438.20 | $438.20 – $438.20 |
| 20 | Blue Cross Blue Shield lake county physician association percent of total billed charges · outpatientfrom % of charges | $438.20 | $438.20 | $438.20 – $438.20 |
| 21 | Cigna cigna percent of total billed charges · inpatientfrom % of charges | $444.46 | $444.46 | $444.46 – $444.46 |
| 22 | Cigna cigna percent of total billed charges · outpatientfrom % of charges | $444.46 | $444.46 | $444.46 – $444.46 |
| 23 | Aetna aetna percent of total billed charges · outpatientfrom % of charges | $490.16 | $490.16 | $490.16 – $490.16 |
| 24 | Blue Cross Blue Shield sherman choice - pho percent of total billed charges · inpatientfrom % of charges | $500.80 | $500.80 | $500.80 – $500.80 |
| 25 | Blue Cross Blue Shield sherman choice - pho percent of total billed charges · outpatientfrom % of charges | $500.80 | $500.80 | $500.80 – $500.80 |
Last updated: Apr 1, 2026
See Outpatient office visit, established patient, level 4 pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.