Office Visit (Established, Moderate-High) Cost in Illinois
Office o/p est mod 30 min
Illinois Average Cost (2026)
+1.6% vs national avgAverage across 4 Medicare localities in Illinois
National Average
State Ranking
Cost by Region in Illinois
| Region | Office Rate |
|---|---|
| chicago | $142.45 |
| suburban chicago | $141.47 |
| east st. louis | $135.01 |
| rest of illinois | $132.43 |
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About Office Visit (Established, Moderate-High) Costs in Illinois
The average Medicare reimbursement for office visit (established, moderate-high) in Illinois is $137.84 for an office setting and $88.46 in a hospital. This is close to the national average of $135.61.
Medicare patients typically pay 20% of the Medicare rate after meeting their deductible. For this procedure in Illinois, that would be roughly $28 for an office visit or $18 in a hospital setting.
Private insurance plans in Illinois typically pay between 130% and 200% of Medicare rates for this procedure, putting the total somewhere between $179 and $276.
Without insurance, you may be able to negotiate a cash discount. Many providers in Illinois will reduce their fees by 20% to 40% for self-pay patients. Always ask about cash pricing before scheduling your procedure.
Ways to Save on Office Visit (Established, Moderate-High)
Compare Insurance Plans
Uninsured? Comparing marketplace plans in Illinois could save you thousands on procedures like this.
Compare plans on eHealth →Try Telehealth First
Many consultations can be done virtually for $50-100, saving hundreds vs an in-person visit.
Book on Sesame Care →Save on Prescriptions
If this procedure leads to a prescription, check discount cards for up to 80% savings.
Check prices on GoodRx →Some links are affiliate links. We may earn a commission at no extra cost to you.
More ways to save →