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
PR MEDICAID- 99215= RVU --> BILL 99213
Marion, IL
See all hospitals reporting CPT 99213 →Price type
Deaconess Regional Healthcare Services Illinois Inc’s median price of $67 is 46% below the median hospital's median price ($124), higher than 15% of the 2,009 hospitals reporting CPT 99213. 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, 29 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 | Bcbs Il managed medicaid professional · fee schedule · both | $44.67 | $44.67 | $44.67 – $44.67 |
| 2 | WellCare managed medicaid professional · fee schedule · both | $44.67 | $44.67 | $44.67 – $44.67 |
| 3 | Molina managed medicaid professional · fee schedule · both | $45.12 | $45.12 | $45.12 – $45.12 |
| 4 | Aetna Better Health managed medicaid professional · fee schedule · both | $46.90 | $46.90 | $46.90 – $46.90 |
| 5 | Aetna medicare advantage professional · fee schedule · both | $63.33 | $63.33 | $63.33 – $63.33 |
| 6 | Aetna Better Health medicare mmp professional · fee schedule · both | $63.33 | $63.33 | $63.33 – $63.33 |
| 7 | Bcbs Il medicare advantage professional · fee schedule · both | $63.33 | $63.33 | $63.33 – $63.33 |
| 8 | UnitedHealthcare medicare advantage professional · fee schedule · both | $63.33 | $63.33 | $63.33 – $63.33 |
| 9 | WellCare mmai professional · fee schedule · both | $63.33 | $63.33 | $63.33 – $63.33 |
| 10 | Molina mmai professional · fee schedule · both | $63.96 | $63.96 | $63.96 – $63.96 |
| 11 | WellCare medicare advantage professional · fee schedule · both | $65.23 | $65.23 | $65.23 – $65.23 |
| 12 | Humana medicare advantage professional · fee schedule · both | $66.50 | $66.50 | $66.50 – $66.50 |
| 13 | Humana mmai professional · fee schedule · both | $66.50 | $66.50 | $66.50 – $66.50 |
| 14 | Bcbs Il ppo professional · fee schedule · both | $69.55 | $69.55 | $69.55 – $69.55 |
| 15 | Aetna medicare advantage facility · case rate · outpatient | $83.88 | $83.88 | $83.88 – $83.88 |
| 16 | Bcbs Il medicare advantage facility · case rate · outpatient | $83.88 | $83.88 | $83.88 – $83.88 |
| 17 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $83.88 | $83.88 | $83.88 – $83.88 |
| 18 | WellCare mmai facility · case rate · outpatient | $83.88 | $83.88 | $83.88 – $83.88 |
| 19 | Molina mmai facility · case rate · outpatient | $84.72 | $84.72 | $84.72 – $84.72 |
| 20 | Aetna Better Health medicare mmp facility · case rate · outpatient | $85.56 | $85.56 | $85.56 – $85.56 |
| 21 | WellCare medicare advantage facility · case rate · outpatient | $86.40 | $86.40 | $86.40 – $86.40 |
| 22 | Humana medicare advantage facility · case rate · outpatient | $88.07 | $88.07 | $88.07 – $88.07 |
| 23 | Humana mmai facility · case rate · outpatient | $88.07 | $88.07 | $88.07 – $88.07 |
| 24 | Cigna commercial professional · percent of total billed charges · bothfrom % of charges | $94.35 | $94.35 | $94.35 – $94.35 |
| 25 | MultiPlan commercial professional · fee schedule · both | $97.30 | $97.30 | $97.30 – $97.30 |
Last updated: Feb 3, 2026
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