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Hip hemiarthroplasty

CPT 27125 · negotiated-rate distribution across hospitals in IL

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Hospitals
25
Min
$1,023.91
Median
$12,497
Max
$18,206
Range multiplier
17.8×

By payer (49 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare1963$1,020.43$12,700$25,11124.6×
Aetna1142$998.93$1,090.28$14,03314.0×
Blue Cross Blue Shield1039$998.93$2,208.30$13,75813.8×
Humana1327$1,058.52$1,071.45$13,75813.0×
Medicare Advantage121$1,066.70$1,066.70$1,173.371.1×
Molina811$1,026.65$1,033.44$13,75813.4×
WellCare511$1,020.43$1,098.67$13,75813.5×
Cigna88$2,064.56$2,694.57$3,657.601.8×
Medicare27$1,063.84$1,066.70$1,066.701.0×
meridian46$998.93$1,098.67$13,75813.8×
meridian health plan26$1,020.43$1,045.25$1,098.671.1×
prime health services36$969.41$2,426.87$3,810.003.9×
Multiplan34$3,015.99$3,032.00$3,657.601.2×
amerivantage44$1,063.84$1,063.84$1,063.841.0×
deaconess onecare24$1,020.43$1,675.47$2,252.272.2×
health partners open network44$2,123.87$2,123.87$2,123.871.0×
noncontracted23$1,632.69$1,757.87$1,757.871.1×
alliance coal23$1,516.16$1,516.16$1,683.711.1×
umwa23$1,020.43$1,098.67$1,098.671.1×
mychoice wi medical adv13$1,066.70$1,066.70$1,066.701.0×
ecoh13$2,565.07$2,704.35$2,948.091.1×
Self-Pay (Cash)33$1,778.00$1,778.00$1,778.001.0×
mytru advantage12$1,020.43$1,059.55$1,098.671.1×
hfn12$2,565.07$2,756.58$2,948.091.1×
Medicaid12$1,026.65$1,026.65$1,026.651.0×
care improvement plus22$1,040.84$1,080.74$1,120.641.1×
alter-net medical services, inc.12$1,757.87$2,333.05$2,908.231.7×
bc illinois community11$2,098.84$2,098.84$2,098.841.0×
Ambetter11$1,013.18$1,013.18$1,013.181.0×
health alliance11$1,013.18$1,013.18$1,013.181.0×
alter-net11$1,757.87$1,757.87$1,757.871.0×
beloit healt system11$4,351.54$4,351.54$4,351.541.0×
First Health11$4,572.00$4,572.00$4,572.001.0×
mytruadvantage11$1,098.67$1,098.67$1,098.671.0×
national provider network11$4,318.00$4,318.00$4,318.001.0×
network health plan11$19,879$19,879$19,8791.0×
claimdoc11$1,373.34$1,373.34$1,373.341.0×
phcs11$3,015.99$3,015.99$3,015.991.0×
alliance premier network11$2,261.49$2,261.49$2,261.491.0×
quartz aso11$2,524.39$2,524.39$2,524.391.0×
quartz fully insured11$2,235.49$2,235.49$2,235.491.0×
hope trust11$2,908.23$2,908.23$2,908.231.0×
the alliance11$2,433.68$2,433.68$2,433.681.0×
trilogy11$28,491$28,491$28,4911.0×
healthcare's finest network (hfn)11$4,318.00$4,318.00$4,318.001.0×
wps11$3,751.33$3,751.33$3,751.331.0×
alliance11$3,991.96$3,991.96$3,991.961.0×
Workers Comp11$5,260.58$5,260.58$5,260.581.0×
mercy care11$5,251.86$5,251.86$5,251.861.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Presence Saints Mary & Elizabeth MedChicagoIL5$3,991.96$4,417.71$28,491
Red Bud Regional HospitalRed BudIL6$5,080.00$1,778.00$1,373.34$3,048.00$3,962.40
Proctor HospitalPeoriaIL8$6,968.00$5,574.40$1,013.18$2,208.30$3,483.37
Pekin Memorial HospitalPekinIL8$6,968.00$5,574.40$1,013.18$2,208.30$3,483.37
Methodist Medical Ctr Of IllinoisPeoriaIL8$6,968.00$5,574.40$1,013.18$2,208.30$3,483.37
Trinity Rock IslandRock IslandIL12$6,968.00$5,574.40$1,013.18$2,111.36$5,621.94
South Suburban HospitalHazelcrestIL1$12,700$18,206$25,111
Good Shepherd HospitalBarringtonIL1$12,700$18,206$25,111
Advocate Christ HospitalOak LawnIL1$12,700$18,206$25,111
Advocate Lutheran General HospitalPark RidgeIL1$12,700$18,206$25,111
Advocate Good Samaritan HospitalDowners GroveIL1$12,700$18,206$25,111
Advocate Southland HospitalChicagoIL1$12,700$18,206$25,111
Advocate Northside Health SystemChicagoIL1$12,700$18,206$25,111
Condell Medical CenterLibertyvilleIL1$11,784$13,942$16,667
Carle Foundation HospitalUrbanaIL7$1,058.52$13,758$14,033
Carle Bromenn Medical CenterNormalIL7$1,058.52$13,758$13,758
Advocate Sherman HospitalElginIL1$11,146$12,497$14,074
Union County Hospital DistrictAnnaIL19$5,080.00$1,778.00$1,026.65$1,109.66$3,810.00
Heartland Regional Medical CenterMarionIL22$5,080.00$1,778.00$969.41$1,098.67$4,572.00
Carle Eureka HospitalEurekaIL3$1,058.52$1,090.28$13,758
Swedishamerican HospitalRockfordIL19$7,502.65$1,200.42$1,026.65$1,066.70$7,502.65
Kirby HospitalMonticelloIL5$998.93$1,023.91$1,587.78
Anderson HospitalMaryvilleIL0
Jackson Park HospitalChicagoIL0$14,461$11,568
Board Of Trustees Of The UniversityChicagoIL0$6,910.00$2,073.00

Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.