Outpatient office visit, established patient, level 4 at Northwestern Medicine Delnor Hospital

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HB Office/Outpatient Visit Established Level 4

Geneva, IL

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Pricing by billing methodology

Price type

How this price compares nationally

Northwestern Medicine Delnor Hospital’s median price of $169 is 6% above the median hospital's median price ($159), higher than 54% of the 2,010 hospitals reporting CPT 99214. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99214 at Northwestern Medicine Delnor Hospital

Negotiated rates from the hospital’s own file: 7 payers, 22 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	Blue Cross Blue Shield dch bcbs bluechoice options percent of total billed charges · outpatientfrom % of charges	$59.90	$59.90	$35.02 – $84.78
2	Blue Cross Blue Shield dch bcbs bluechoice select percent of total billed charges · outpatientfrom % of charges	$59.90	$59.90	$35.02 – $84.78
3	Aetna dch aetna nm employees percent of total billed charges · outpatientfrom % of charges	$65.53	$65.53	$38.31 – $92.75
4	Blue Cross Blue Shield dch bcbs bluechoice preferred percent of total billed charges · outpatientfrom % of charges	$72.36	$72.36	$42.30 – $102.42
5	Cigna dch cigna alternative percent of total billed charges · outpatientfrom % of charges	$87.64	$87.64	$51.23 – $124.04
6	Blue Cross Blue Shield dch bcbs ppo percent of total billed charges · outpatientfrom % of charges	$93.67	$93.67	$54.76 – $132.58
7	Blue Cross Blue Shield dch illinois medicaid other · outpatient	$120.57	$120.57	$120.57 – $120.57
8	UnitedHealthcare dch uhc core percent of total billed charges · outpatientfrom % of charges	$190.55	$190.55	$111.39 – $269.71
9	Cigna dch cigna broad percent of total billed charges · outpatientfrom % of charges	$196.98	$196.98	$115.15 – $278.81
10	UnitedHealthcare dch uhc hmo/ppo percent of total billed charges · outpatientfrom % of charges	$211.86	$211.86	$123.85 – $299.86
11	Blue Cross Blue Shield dch bcbs par/indemnity adp percent of total billed charges · outpatientfrom % of charges	$224.72	$224.72	$131.37 – $318.07
12	Aetna dch aetna percent of total billed charges · outpatientfrom % of charges	$254.36	$254.36	$145.70 – $363.02
13	First Health dch aetna percent of total billed charges · outpatientfrom % of charges	$254.36	$254.36	$145.70 – $363.02
14	First Health dch first health percent of total billed charges · outpatientfrom % of charges	$277.38	$277.38	$162.15 – $392.61
15	Aetna dch aetna asa percent of total billed charges · outpatientfrom % of charges	$278.65	$278.65	$159.57 – $397.73
16	MultiPlan dch phcs percent of total billed charges · outpatientfrom % of charges	$301.50	$301.50	$176.25 – $426.75
17	Cigna dch cigna behavioral bhs percent of total billed charges · outpatientfrom % of charges	$321.60	$321.60	$188.00 – $455.20
18	Beechstreet dch beech street/capp care percent of total billed charges · outpatientfrom % of charges	$361.80	$361.80	$211.50 – $512.10
19	MultiPlan dch multiplan percent of total billed charges · outpatientfrom % of charges	$361.80	$361.80	$211.50 – $512.10
20	Blue Cross Blue Shield dch bcbs hmo percent of total billed charges · outpatientfrom % of charges	$396.71	$396.71	$396.71 – $396.71
21	MultiPlan dch non-contracted payors percent of total billed charges · outpatientfrom % of charges	$402.00	$402.00	$235.00 – $569.00
22	UnitedHealthcare dch uhc non-contracted oon - ed only percent of total billed charges · outpatientfrom % of charges	$402.00	$402.00	$235.00 – $569.00

Last updated: Apr 1, 2026

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