Doctor visits and therapy CPT 99215 Outpatient

Returning patient visit, 40 min cost in Chicago, IL

In Chicago-Naperville-Elgin, IL-IN, 48 hospitals list a cash price for returning patient office visit, high complexity or 40+ minutes: from $46.74 to $618.80, with a median of $207.50. The lowest listed price is at Gottlieb Memorial Hospital — $160.76 less than the median here. Across Illinois, the median is $207.50 at 61 hospitals.

Cash prices at 48 facilities across 35 cities for code 99215, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Mar 17, 2025 and Aug 24, 2026.

Lowest$46.74Gottlieb Memorial Hospital
Median$207.50half pay less
Highest$618.80in this market
Difference13.2×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Chicago-Naperville-Elgin, IL-IN.

median
Lowest $46.74Highest $841.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Gottlieb Memorial Hospital lowest Melrose Park, IL · (708) 681-3200 Est Level V $46.74 $246.00 $104.80–$179.58 81% Mar 31, 2026
source file
Gottlieb Memorial Hospital lowest Melrose Park, IL · (708) 681-3200 Est Level V > 1 Hr $46.74 $246.00 $104.80–$179.58 81% Mar 31, 2026
source file
Gottlieb Memorial Hospital lowest Melrose Park, IL · (708) 681-3200 Tis-I Nurse Visit Family $46.74 $246.00 $104.80–$179.58 81% Mar 31, 2026
source file
Gottlieb Memorial Hospital Melrose Park, IL · (708) 681-3200 OB Triage Est Level V $51.49 $271.00 $81.57–$197.83 81% Mar 31, 2026
source file
Loyola University Medical Center Maywood, IL · (708) 216-9000 Est Level V > 1 Hr $56.58 $246.00 $107.99–$259.28 77% Mar 31, 2026
source file
Loyola University Medical Center Maywood, IL · (708) 216-9000 Tis-I Nurse Visit Family $56.58 $246.00 $107.99–$259.28 77% Mar 31, 2026
source file
Loyola University Medical Center Maywood, IL · (708) 216-9000 Est Level V $56.58 $246.00 $246.00–$551.86 77% Mar 31, 2026
source file
Gottlieb Memorial Hospital Melrose Park, IL · (708) 681-3200 Tis Nurse Visit Family $57.00 $300.00 $127.80–$219.00 81% Mar 31, 2026
source file
Loyola University Medical Center Maywood, IL · (708) 216-9000 OB Triage Est Level V $62.33 $271.00 $94.04–$285.63 77% Mar 31, 2026
source file
Loyola University Medical Center Maywood, IL · (708) 216-9000 Tis Nurse Visit Family $69.00 $300.00 $300.00–$551.86 77% Mar 31, 2026
source file
NorthShore University HealthSystems Glenbrook Hospital Glenview, IL Office/Outpt Visit Est Levl V (>46min) $81.25 $125.00 $16.88–$68.25 35% —
source file
NorthShore University HealthSystems Highland Park Hospital Highland Park, IL Office/Outpt Visit Est Levl V (>46min) $81.25 $125.00 $16.88–$68.25 35% —
source file
NorthShore University HealthSystems Skokie Hospital Skokie, IL Office/Outpt Visit Est Levl V (>46min) $81.25 $125.00 $16.88–$68.25 35% —
source file
NorthShore University HealthSystems Evanston Hospital Evanson, IL · (847) 570-2000 Office/Outpt Visit Est Levl V (>46min) $81.25 $125.00 $16.88–$68.25 35% —
source file
Humboldt Park Health Chicago, IL · (773) 292-8200 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more $108.78 $388.50 $388.50 72% Aug 24, 2026
source file
Endeavor Health Clinical Operations Highland Park, IL OFFICE/OUTPT VISIT,EST,LEVL V (>46MIN) $132.00 $132.00 — — Apr 1, 2026
source file
Northshore University Healthsystem - Evanston Hospital Evanston, IL · (847) 570-2000 OFFICE/OUTPT VISIT,EST,LEVL V (>46MIN) $132.00 $132.00 — — Apr 1, 2026
source file
Swedish Covenant Health Chicago, IL · (773) 878-8200 OFFICE/OUTPT VISIT,EST,LEVL V (>46MIN) $132.00 $132.00 — — Apr 1, 2026
source file
Resilience Healthcare West Suburban Medical Center Oak Park, IL · (708) 383-6200 SC FACILITY EVAL EST PATIENT LEVEL 5 99215 BCE $144.84 $426.00 $63.22–$276.90 66% Mar 17, 2025
source file
Resilience Healthcare West Suburban Medical Center Oak Park, IL · (708) 383-6200 OPWC EST PT Visit Level 5 (60+ Min) BCE $145.18 $427.00 $63.37–$277.55 66% Mar 17, 2025
source file
Resilience Healthcare West Suburban Medical Center Oak Park, IL · (708) 383-6200 *Wound Visit Levels -> EST PT Wound Visit Level 5 (60+ Min) $145.18 $427.00 $63.37–$277.55 66% Mar 17, 2025
source file
Resilience Healthcare West Suburban Medical Center Oak Park, IL · (708) 383-6200 Onc Facility Eval, Management Level 5 99215 BCE $145.18 $427.00 $63.37–$277.55 66% Mar 17, 2025
source file
Resilience Healthcare West Suburban Medical Center Oak Park, IL · (708) 383-6200 WC EST PT Visit Level 5 (60+ Min) BCE $145.18 $427.00 $63.37–$277.55 66% Mar 17, 2025
source file
Resilience Healthcare West Suburban Medical Center Oak Park, IL · (708) 383-6200 PAIN CLINIC EST PT LVL 5 BCE $145.18 $427.00 $63.37–$277.55 66% Mar 17, 2025
source file
Louis A Weiss Memorial Hospital Chicago, IL · (773) 878-8700 GYNE ONC OFC VISIT EST PT LVL 5 BCE $149.60 $440.00 $73.17–$286.00 66% Mar 17, 2025
source file
Resilience Healthcare West Suburban Medical Center Oak Park, IL · (708) 383-6200 CHRG - Oncology Visit Levels -> EST High Complexity $149.60 $440.00 $65.30–$286.00 66% Mar 17, 2025
source file
Louis A Weiss Memorial Hospital Chicago, IL · (773) 878-8700 Neurology Visit Patient Levels -> Est Pt Level V $149.60 $440.00 $73.17–$286.00 66% Mar 17, 2025
source file
Louis A Weiss Memorial Hospital Chicago, IL · (773) 878-8700 Rad Onc Visit Levels EST High Complexity BCE $149.60 $440.00 $73.17–$286.00 66% Mar 17, 2025
source file
Louis A Weiss Memorial Hospital Chicago, IL · (773) 878-8700 ENT EST PT OFC VSIT LVEL 5 BCE $149.60 $440.00 $73.17–$286.00 66% Mar 17, 2025
source file
Louis A Weiss Memorial Hospital Chicago, IL · (773) 878-8700 *Wound Visit Levels -> EST PT Wound Visit Level 5 (60+ Min) $149.60 $440.00 $73.17–$286.00 66% Mar 17, 2025
source file
Louis A Weiss Memorial Hospital Chicago, IL · (773) 878-8700 BONE-JOINT OFC/OUTPT E&M EST HIGH COMPLEXITY BCE $149.60 $440.00 $73.17–$286.00 66% Mar 17, 2025
source file
Louis A Weiss Memorial Hospital Chicago, IL · (773) 878-8700 PLASTIC OFC VISIT EST PT LVL 5 BCE $149.60 $440.00 $73.17–$286.00 66% Mar 17, 2025
source file
Louis A Weiss Memorial Hospital Chicago, IL · (773) 878-8700 OPWC EST PT Visit Level 5 (60+ Min) BCE $149.60 $440.00 $73.17–$286.00 66% Mar 17, 2025
source file
Louis A Weiss Memorial Hospital Chicago, IL · (773) 878-8700 Neurology Est Pt Level V BCE $149.60 $440.00 $73.17–$286.00 66% Mar 17, 2025
source file
Louis A Weiss Memorial Hospital Chicago, IL · (773) 878-8700 WC EST PT Visit Level 5 (60+ Min) BCE $149.60 $440.00 $73.17–$286.00 66% Mar 17, 2025
source file
Louis A Weiss Memorial Hospital Chicago, IL · (773) 878-8700 CHRG - Oncology Visit Levels -> EST High Complexity $149.60 $440.00 $73.17–$286.00 66% Mar 17, 2025
source file
Louis A Weiss Memorial Hospital Chicago, IL · (773) 878-8700 PAIN CLINIC EST PT LVL 5 BCE $149.60 $440.00 $73.17–$286.00 66% Mar 17, 2025
source file
Louis A Weiss Memorial Hospital Chicago, IL · (773) 878-8700 ORTHO OFC/OUTPT E&M EST HIGH COMPLEXITY BCE $149.60 $440.00 $73.17–$286.00 66% Mar 17, 2025
source file
Louis A Weiss Memorial Hospital Chicago, IL · (773) 878-8700 Onc Facility Eval, Management Level 5 99215 BCE $149.60 $440.00 $73.17–$286.00 66% Mar 17, 2025
source file
Louis A Weiss Memorial Hospital Chicago, IL · (773) 878-8700 COLORECTAL EST PT CLINIC VISIT LVL 5 BCE $149.60 $440.00 $73.17–$286.00 66% Mar 17, 2025
source file
Uchicago Medicine AdventHealth Glenoaks Glendale Heights, IL · (630) 545-8000 HC OFFICE OUTPATIENT VISIT EST PT HIGH LVL MDM $166.25 $665.00 — 75% Apr 1, 2026
source file
Uchicago Medicine AdventHealth Bolingbrook Bolingbrook, IL · (630) 312-5000 HC OFFICE OUTPATIENT VISIT EST PT HIGH LVL MDM $166.25 $665.00 — 75% Apr 1, 2026
source file
Uchicago Medicine AdventHealth Bolingbrook Bolingbrook, IL · (630) 312-5000 HC OFFICE OUTPATIENT VISIT EST PT HIGH LVL MDM $166.25 $665.00 — 75% Apr 1, 2026
source file
Uchicago Medicine AdventHealth Glenoaks Glendale Heights, IL · (630) 545-8000 HC OFFICE OUTPATIENT VISIT EST PT HIGH LVL MDM $166.25 $665.00 — 75% Apr 1, 2026
source file
Uchicago Medicine AdventHealth Hinsdale Hinsdale, IL · (630) 856-9000 HC OFFICE OUTPATIENT VISIT EST PT HIGH LVL MDM $166.25 $665.00 — 75% Apr 1, 2026
source file
Uchicago Medicine AdventHealth Hinsdale Hinsdale, IL · (630) 856-9000 HC OFFICE OUTPATIENT VISIT EST PT HIGH LVL MDM $166.25 $665.00 — 75% Apr 1, 2026
source file
Uchicago Medicine AdventHealth La Grange La Grange, IL · (708) 352-1200 HC OFFICE OUTPATIENT VISIT EST PT HIGH LVL MDM $166.25 $665.00 — 75% Apr 1, 2026
source file
Uchicago Medicine AdventHealth La Grange La Grange, IL · (708) 352-1200 HC OFFICE OUTPATIENT VISIT EST PT HIGH LVL MDM $166.25 $665.00 — 75% Apr 1, 2026
source file
Advocate South Suburban Hospital Hazel Crest, IL OP SERV COMP ACUITY-EST PT $207.50 $415.00 $105.00–$404.21 50% Nov 4, 2025
source file
Advocate Sherman Hospital Elgin, IL · (847) 742-9800 OP SERV COMP ACUITY-EST PT $207.50 $415.00 $105.00–$373.50 50% Nov 4, 2025
source file
Advocate Good Samaritan Hospital Downers Grove, IL · (630) 275-5900 OP SERV COMP ACUITY-EST PT $207.50 $415.00 $105.00–$332.00 50% Nov 4, 2025
source file
Advocate Illinois Masonic Medical Center Chicago, IL · (773) 975-1600 OP SERV COMP ACUITY-EST PT $207.50 $415.00 $105.00–$337.81 50% Nov 4, 2025
source file
Advocate Lutheran General Hospital Park Ridge, IL · (847) 723-2210 OP SERV COMP ACUITY-EST PT $207.50 $415.00 $105.00–$369.35 50% Nov 4, 2025
source file
Advocate Good Shepherd Hospital Barrington, IL · (847) 381-9600 OP SERV COMP ACUITY-EST PT $207.50 $415.00 $105.00–$332.00 50% Nov 4, 2025
source file
Advocate Christ Medical Center Oak Lawn, IL · (708) 684-8000 OP SERV COMP ACUITY-EST PT $207.50 $415.00 $105.00–$332.00 50% Nov 4, 2025
source file
Advocate Childrens Hospital Park Ridge Park Ridge, IL OP SERV COMP ACUITY-EST PT $207.50 $415.00 $105.00–$369.35 50% Nov 4, 2025
source file
Advocate Good Samaritan Hospital Downers Grove, IL · (630) 275-5900 OSTM OP SERV COMP ACUITY-EST PT $207.50 $415.00 $84.00–$332.00 50% Nov 4, 2025
source file
Advocate Good Shepherd Hospital Barrington, IL · (847) 381-9600 OSTM OP SERV COMP ACUITY-EST PT $207.50 $415.00 $84.00–$332.00 50% Nov 4, 2025
source file
Advocate Condell Medical Center Libertyville, IL · (847) 362-2900 OSTM OP SERV COMP ACUITY-EST PT $207.50 $415.00 $113.29–$332.00 50% Nov 4, 2025
source file
Advocate Condell Medical Center Libertyville, IL · (847) 362-2900 OP SERV COMP ACUITY-EST PT $207.50 $415.00 $105.00–$332.00 50% Nov 4, 2025
source file
Advocate Trinity Hospital Chicago, IL · (773) 967-5002 OP SERV COMP ACUITY-EST PT $207.50 $415.00 $105.00–$332.00 50% Nov 4, 2025
source file
Advocate Childrens Hospital Oak Lawn Oak Lawn, IL OP SERV COMP ACUITY-EST PT $207.50 $415.00 $105.00–$332.00 50% Nov 4, 2025
source file
Porter-Starke Services Valparaiso, IN · (219) 531-3500 Psychiatrist or Nurse Practioner Office visit - level 5 $211.00 $211.00 $61.00–$145.34 — —
source file
The Methodist Hospitals Merrillville, IN O/P Visit Est Pt Level 5 $213.50 $305.00 $0.01–$271.45 30% —
source file
The Methodist Hospitals Gary, IN · (219) 886-4000 O/P Visit Est Pt Level 5 $213.50 $305.00 $0.01–$271.45 30% —
source file
The Methodist Hospitals Merrillville, IN HC Office or Other Outpatient Visit for the Evaluation and Management of an Established Patient, 40+ Minutes $242.20 $346.00 $0.01–$307.94 30% —
source file
The Methodist Hospitals Gary, IN · (219) 886-4000 HC Office or Other Outpatient Visit for the Evaluation and Management of an Established Patient, 40+ Minutes $242.20 $346.00 $0.01–$307.94 30% —
source file
NorthShore University HealthSystems Highland Park Hospital Highland Park, IL Level 5 Est Pt Visit $268.45 $413.00 $55.76–$225.50 35% —
source file
NorthShore University HealthSystems Highland Park Hospital Highland Park, IL Opd Level 5 Est Pt Visit $268.45 $413.00 $55.76–$225.50 35% —
source file
NorthShore University HealthSystems Skokie Hospital Skokie, IL Opd Level 5 Est Pt Visit $268.45 $413.00 $55.76–$225.50 35% —
source file
NorthShore University HealthSystems Skokie Hospital Skokie, IL Level 5 Colposcopy Est Pt Visit $268.45 $413.00 $55.76–$225.50 35% —
source file
NorthShore University HealthSystems Skokie Hospital Skokie, IL Level 5 Est Pt Visit $268.45 $413.00 $55.76–$225.50 35% —
source file
NorthShore University HealthSystems Evanston Hospital Evanson, IL · (847) 570-2000 Level 5 Est Pt Visit $268.45 $413.00 $55.76–$225.50 35% —
source file
NorthShore University HealthSystems Evanston Hospital Evanson, IL · (847) 570-2000 Level 5 Colposcopy Est Pt Visit $268.45 $413.00 $55.76–$225.50 35% —
source file
NorthShore University HealthSystems Evanston Hospital Evanson, IL · (847) 570-2000 Opd Level 5 Est Pt Visit $268.45 $413.00 $55.76–$225.50 35% —
source file
NorthShore University HealthSystems Glenbrook Hospital Glenview, IL Opd Level 5 Est Pt Visit $268.45 $413.00 $55.76–$225.50 35% —
source file
NorthShore University HealthSystems Glenbrook Hospital Glenview, IL Level 5 Colposcopy Est Pt Visit $268.45 $413.00 $55.76–$225.50 35% —
source file
NorthShore University HealthSystems Glenbrook Hospital Glenview, IL Level 5 Est Pt Visit $268.45 $413.00 $55.76–$225.50 35% —
source file
NorthShore University HealthSystems Highland Park Hospital Highland Park, IL Level 5 Colposcopy Est Pt Visit $268.45 $413.00 $55.76–$225.50 35% —
source file
The University of Chicago Medical Center Chicago, IL · (773) 702-9785 Pr Office/Outpatient Established High Mdm 40 Min $314.00 $314.00 — — Apr 1, 2026
source file
Presence Saint Joseph Hospital - Chicago Chicago, IL · (773) 665-3000 HC OFFICE/OUTPATIENT VISIT EST - LEVEL 5 $364.98 $1,106.00 $254.10–$375.76 67% —
source file
Elmhurst Memorial Hospital Elmhurst, IL · (331) 221-1000 EH PR OUTPT EVAL AND MGNT EST PT LEVEL 5 $396.00 $396.00 — — Apr 1, 2026
source file
Edward Hospital Naperville, IL · (630) 527-3000 EH PR OUTPT EVAL AND MGNT EST PT LEVEL 5 $396.00 $396.00 — — Apr 1, 2026
source file
Elmhurst Memorial Hospital Elmhurst, IL · (331) 221-1000 EH PR OUTPT EVAL AND MGNT EST PT LEVEL 5 W PROCED $396.00 $396.00 — — Apr 1, 2026
source file
Edward Hospital Naperville, IL · (630) 527-3000 EH PR OUTPT EVAL AND MGNT EST PT LEVEL 5 W PROCED $396.00 $396.00 — — Apr 1, 2026
source file
Shriners Childrens - Chicago Chicago, IL · (773) 622-5400 OFFICE O/P EST HI 40 MIN $407.70 $407.70 $124.51–$235.62 — —
source file
Endeavor Health Clinical Operations Highland Park, IL HB LEVEL 5 EST PT VISIT $465.00 $465.00 — — Apr 1, 2026
source file
Northshore University Healthsystem - Evanston Hospital Evanston, IL · (847) 570-2000 HB LEVEL 5 EST PT VISIT $465.00 $465.00 — — Apr 1, 2026
source file
Swedish Covenant Health Chicago, IL · (773) 878-8200 HB OPD LEVEL 5 EST PT VISIT $465.00 $465.00 — — Apr 1, 2026
source file
Swedish Covenant Health Chicago, IL · (773) 878-8200 HB LEVEL 5 COLPOSCOPY EST PT VISIT $465.00 $465.00 — — Apr 1, 2026
source file
Swedish Covenant Health Chicago, IL · (773) 878-8200 HB LEVEL 5 EST PT VISIT $465.00 $465.00 — — Apr 1, 2026
source file
Northshore University Healthsystem - Evanston Hospital Evanston, IL · (847) 570-2000 HB OPD LEVEL 5 EST PT VISIT $465.00 $465.00 — — Apr 1, 2026
source file
Endeavor Health Clinical Operations Highland Park, IL HB LEVEL 5 COLPOSCOPY EST PT VISIT $465.00 $465.00 — — Apr 1, 2026
source file
Endeavor Health Clinical Operations Highland Park, IL HB OPD LEVEL 5 EST PT VISIT $465.00 $465.00 — — Apr 1, 2026
source file
Northshore University Healthsystem - Evanston Hospital Evanston, IL · (847) 570-2000 HB LEVEL 5 COLPOSCOPY EST PT VISIT $465.00 $465.00 — — Apr 1, 2026
source file
Community First Medical Center Chicago, IL · (773) 282-7000 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more $494.38 $988.75 $135.45–$988.75 50% Apr 1, 2026
source file
Northwest Community Hospital Arlington Heights, IL · (847) 618-1000 Hb E&M Est L&D Pt - Level 5 $524.00 $524.00 — — Apr 1, 2026
source file
Northwest Community Hospital Arlington Heights, IL · (847) 618-1000 Hb Level 5 Est Pt Visit X/Px $524.00 $524.00 — — Apr 1, 2026
source file
Northwest Community Hospital Arlington Heights, IL · (847) 618-1000 Hb E&M Est Pt - Level 5 $524.00 $524.00 — — Apr 1, 2026
source file
La Rabida Children's Hospital|LaRabida Childrens Hospital Chicago, IL · (773) 363-6700 COMP-HIGH-RET $531.34 $531.34 — — Apr 1, 2026
source file
Ingalls Memorial Hospital Harvey, IL · (708) 333-2300 Hc Evaluation And Management Return Patient Level 5 $537.00 $537.00 — — Apr 1, 2026
source file
La Rabida Children's Hospital|LaRabida Childrens Hospital Chicago, IL · (773) 363-6700 URG COMP-HIGH-RET $547.76 $547.76 — — Apr 1, 2026
source file
La Rabida Children's Hospital|LaRabida Childrens Hospital Chicago, IL · (773) 363-6700 DIABETES COMP-HIGH-RET $547.76 $547.76 — — Apr 1, 2026
source file
Elmhurst Memorial Hospital Elmhurst, IL · (331) 221-1000 HC WOUND/OSTOMY CARE EST PT 61-90 MIN $560.00 $560.00 — — Apr 1, 2026
source file
Edward Hospital Naperville, IL · (630) 527-3000 HC WOUND/OSTOMY CARE EST PT 61-90 MIN $560.00 $560.00 — — Apr 1, 2026
source file
The University of Chicago Medical Center Chicago, IL · (773) 702-9785 Estab Pt Initial Prenatal Visit 99215 & 0500F For Medicaid $590.00 $590.00 — — Apr 1, 2026
source file
The University of Chicago Medical Center Chicago, IL · (773) 702-9785 Estab Pt Initial Prenatal Visit 99215 & 0500F For Medicaid-Pbb $590.00 $590.00 — — Apr 1, 2026
source file
The University of Chicago Medical Center Chicago, IL · (773) 702-9785 Estab Pt Subsequent Prenatal Visit 99215-Pbb $590.00 $590.00 — — Apr 1, 2026
source file
The University of Chicago Medical Center Chicago, IL · (773) 702-9785 Estab Pt Subsequent Prenatal Visit 99215 $590.00 $590.00 — — Apr 1, 2026
source file
The University of Chicago Medical Center Chicago, IL · (773) 702-9785 Pr Office/Outpatient Established High Mdm 40 Min-Pbb $590.00 $590.00 — — Apr 1, 2026
source file
The University of Chicago Medical Center Chicago, IL · (773) 702-9785 Hc Evaluation And Management Return Patient Level 5-Pbb $598.00 $598.00 — — Apr 1, 2026
source file
The University of Chicago Medical Center Chicago, IL · (773) 702-9785 Hc Evaluation And Management Return Patient Level 5 $598.00 $598.00 — — Apr 1, 2026
source file
Shriners Childrens - Chicago Chicago, IL · (773) 622-5400 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 40-54 MINUTES $601.80 $601.80 $124.51–$235.62 — —
source file
Northwestern Medicine Kishwaukee Hospital DeKalb, IL · (815) 756-1521 HB Office/Outpatient Visit Established Level 5 $609.00 $870.00 $159.21–$870.00 30% Apr 1, 2026
source file
Northwestern Lake Forest Hospital Lake Forest, IL · (847) 234-5600 HB Office/Outpatient Visit Established Level 5 $609.00 $870.00 $182.70–$870.00 30% Apr 1, 2026
source file
Northwestern Medicine Central DuPage Hospital Winfield, IL · (630) 682-1600 HB Office/Outpatient Visit Established Level 5 $609.00 $870.00 $60.03–$870.00 30% Apr 1, 2026
source file
Northwestern Medicine Marianjoy Rehabilitation Hospital Wheaton, IL HB Office/Outpatient Visit Established Level 5 $609.00 $870.00 $365.40–$870.00 30% Apr 1, 2026
source file
Northwestern Medicine McHenry Hospital McHenry, IL · (815) 344-5000 HB Office/Outpatient Visit Established Level 5 $609.00 $870.00 $167.91–$870.00 30% Apr 1, 2026
source file
Northwestern Medicine Valley West Hospital Sandwich, IL · (815) 786-8484 HB Office/Outpatient Visit Established Level 5 $609.00 $870.00 $165.30–$870.00 30% Apr 1, 2026
source file
Northwestern Medicine Delnor Hospital Geneva, IL · (630) 208-3000 HB Office/Outpatient Visit Established Level 5 $609.00 $870.00 $129.63–$870.00 30% Apr 1, 2026
source file
Palos Community Hospital Palos Heights, IL · (708) 923-4000 HB Office/Outpatient Visit Established Level 5 $609.00 $870.00 $139.20–$870.00 30% Apr 1, 2026
source file
Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL · (312) 227-4000 H OFFICE/OUTPATIENT ESTABLISHED HIGH MDM 40-54 MIN $618.80 $884.00 $48.00–$8,500.00 30% —
source file
Edward Hospital Naperville, IL · (630) 527-3000 HC TAVR OUTPT E&M EST PT LEVEL 5 $841.00 $841.00 — — Apr 1, 2026
source file
Edward Hospital Naperville, IL · (630) 527-3000 HC OUTPT EVAL AND MGNT EST PT LEVEL 5 W PROCED $841.00 $841.00 — — Apr 1, 2026
source file
Edward Hospital Naperville, IL · (630) 527-3000 HC PAH OUTPT E&M EST PT LEVEL 5 $841.00 $841.00 — — Apr 1, 2026
source file
Edward Hospital Naperville, IL · (630) 527-3000 HC OUTPT EVAL AND MGNT EST PT LEVEL 5 $841.00 $841.00 — — Apr 1, 2026
source file
Elmhurst Memorial Hospital Elmhurst, IL · (331) 221-1000 HC OUTPT EVAL AND MGNT EST PT LEVEL 5 $841.00 $841.00 — — Apr 1, 2026
source file
Elmhurst Memorial Hospital Elmhurst, IL · (331) 221-1000 HC OUTPT EVAL AND MGNT EST PT LEVEL 5 W PROCED $841.00 $841.00 — — Apr 1, 2026
source file

Outpatient: lowest $46.74, median $207.50, highest $618.80 — a 13.2× difference within the same market.

As an inpatient, the same code is billed by 31 facilities here, median $207.50. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

Cash or insurance?

At 29 of 35 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 3 it is below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

What it is

This is the highest level of office or outpatient visit for a returning patient, with high complexity decision making or at least 40 minutes of total clinician time on the visit date. It is used for serious or rapidly changing problems that may need urgent decisions.

What the price covers

The price covers the clinician's visit. Lab tests, X-rays, procedures and any hospital facility fee at a hospital-owned clinic are billed separately.