CPT99204

Office Visit (New, Moderate-High) Cost in Illinois

Office o/p new mod 45 min

$182.18Illinois physician fee2026 Medicare office rate
Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers.
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Illinois Medicare physician rate (2026)

+2.7% vs national

Average of 4 localities. Office range $174.69–$188.76.

Illinois (Hospital)
$123.77
Facility physician fee
Private plan est.
$237–$364
~130–200% of Medicare
Cash / self-pay est.
$146–$273
~80–150% of Medicare

Your ZIP in Illinois

Enter a ZIP code to see which Illinois locality applies to you, whether Chicago proper, the suburban collar counties, the Metro East near St. Louis, or downstate cities like Springfield, Peoria, and Champaign.

What office visit (new, moderate-high) costs at hospitals near you

Everything above is a national average. The hospital you pick in Illinois moves the bill more than anything else you control.

Locked

Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.

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What these numbers are

Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery centre rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again. In Illinois the office and hospital physician lines for this CPT differ by $58.41.

National vs Illinois

National office$177.36
National hospital (physician)$116.90
Illinois vs national3% above the national office rate of $177.36

Where Illinois ranks for this CPT

Rank (lowest physician fee first)#41 of 51
Lowest stateArkansas ($161.84)
Highest stateAlaska ($222.54)

CPT 99204 by Illinois locality

LocalityOffice
chicago$188.76
suburban chicago$186.38
east st. louis$178.89
rest of illinois$174.69

PE GPCI ranges from 0.913 to 1.027 in Illinois. That index is why the same CPT is not one price statewide.

Office Visit (New, Moderate-High) and how Illinois is priced

Illinois uses one of the more detailed locality maps in the Midwest: Chicago has its own locality, the suburban collar counties are priced separately, the East St. Louis area carries its own locality tied to the St. Louis market, and the rest of the state shares a fourth. Approved amounts step down noticeably from the city and suburbs to downstate, so the same procedure prices differently in Chicago, Naperville, Belleville, and Springfield. This four-way split makes Illinois one of the states where a ZIP-level check genuinely changes the answer. Downstate rates align more closely with neighboring rural states than with Chicagoland.

Chicago is one of the country's great medical hubs, with multiple academic medical centers and deep specialist supply, and its suburbs support large competing systems of their own. Downstate Illinois is a different market: smaller cities like Peoria, Springfield, and Champaign serve wide rural areas, and the Metro East suburbs orient toward St. Louis providers. Where you sit on that map shapes both price and choice.

This procedure: This is a new-patient office visit of moderate to high complexity: your first visit to a practice in three years for a problem with real depth, such as multiple symptoms needing workup, a new chronic disease like diabetes, or several interacting conditions. When billed by time it represents 45 to 59 minutes on the visit date. It is the most commonly billed new-patient level in the United States, the default for a substantive first specialist or primary care appointment.

What Is Office Visit (New, Moderate-High)?

This is a new-patient office visit of moderate to high complexity: your first visit to a practice in three years for a problem with real depth, such as multiple symptoms needing workup, a new chronic disease like diabetes, or several interacting conditions. When billed by time it represents 45 to 59 minutes on the visit date. It is the most commonly billed new-patient level in the United States, the default for a substantive first specialist or primary care appointment.

What Affects the Cost

  • As the workhorse new-patient code, it prices well above 99203, and the level is set by the visit's complexity, not by what you expected walking in.
  • Specialist consultations commonly bill at this level, and specialist charge rates exceed primary care for the same code.
  • Diagnostic workups launched at this visit, labs, imaging referrals, and tests, are where the episode's real spending usually begins.
  • Facility fees at hospital-owned clinics inflate this visit substantially compared with independent offices.
  • Prolonged-service add-on codes can stack on top if the visit runs well past an hour.

Questions to Ask Before Booking

  • 1.Does my plan require a referral for this specialist before the visit is covered?
  • 2.What is the negotiated or cash price for a level-four new-patient visit here?
  • 3.Which tests are you likely to order, and which of those need prior authorization?
  • 4.Is there a facility fee because this clinic is hospital-owned?
  • 5.If the visit runs long, could additional prolonged-service charges apply?

Office Visit (New, Moderate-High) in Illinois: questions

The 2026 Medicare physician office rate for CPT 99204 averages $182.18 across 4 Illinois localities, from $174.69 in REST OF ILLINOIS to $188.76 in CHICAGO. The hospital physician rate averages $123.77. Enter a ZIP for the exact locality.

Yes. CMS splits Illinois into 4 payment localities. For this CPT the office physician fee spans $14.07 from the lowest to highest locality. Enter a ZIP code to see which Illinois locality applies to you, whether Chicago proper, the suburban collar counties, the Metro East near St. Louis, or downstate cities like Springfield, Peoria, and Champaign.

After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $36 for the office physician line or $25 for the hospital physician line in Illinois. Medigap may cover that 20%. This is not the hospital facility fee.

No. $182.18 is the Medicare physician allowed amount for CPT 99204. Anesthesia, facility fees, implants, and other CPT codes billed the same day are extra. Illinois ranks #41 of 51 states on this physician line (3% above the national office rate of $177.36).

Data source: 2026 Medicare Physician Fee Schedule (CMS PPRRVU26B, released March 2026). Conversion factor: $33.4009. Prices shown are Medicare allowed amounts for the physician service and may not match what you are billed. Private insurance and self-pay ranges, when shown, are labeled estimates (typical multiples of Medicare), not quotes. This site is an independent cost tool, not medical advice.