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Heart failure & shock w MCC

MS-DRG 291 · negotiated-rate distribution across hospitals in IL

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Hospitals
60
Min
$64.7
Median
$11,068
Max
$21,289
Range multiplier
329.0×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield45142$40.6$13,660$35,376871.3×
UnitedHealthcare44110$72.2$13,631$26,582368.2×
Aetna4292$25.4$11,083$25,9651022.2×
Humana2947$8,536.95$11,019$29,0843.4×
Cigna2543$57.3$15,662$28,244492.9×
Molina2828$8,793.06$11,587$21,1962.4×
Medicare1025$8,536.95$10,677$12,0731.4×
Ambetter1717$13,402$19,361$22,9831.7×
WellCare1415$10,143$10,806$12,4181.2×
health alliance plan610$10,091$11,497$22,7222.3×
meridian1010$10,091$10,742$12,2951.2×
Multiplan89$75$90$25,881345.1×
hstechnology99$25,637$25,637$25,6371.0×
Oscar Health99$20,029$20,029$20,0291.0×
Medicare Advantage19$9,135.3$9,135.3$10,0491.1×
healthlink99$73.4$18,679$24,274330.7×
smarthealth77$11,771$14,947$14,9471.3×
allied benefits [498]26$58$74.3$19,137329.9×
healthlink [225]26$48.5$65$75.51.6×
Bright Health66$10,671$13,346$13,3461.3×
cox health systems insurance company [220]26$55$55$651.2×
First Health55$74.3$100$15,850213.3×
caterpillar55$17,587$17,657$21,8271.2×
consociate [478]24$14,784$15,892$17,0001.1×
med-pay [480]24$65$70$751.2×
phcs [244]24$75$77.5$801.1×
Anthem BCBS14$10,022$14,430$21,7882.2×
iowa total care44$8,108.73$9,302.64$10,1911.3×
health partners open network44$12,110$14,028$14,5621.2×
unicare [568]24$65$70.25$75.51.2×
TRICARE44$10,677$10,677$10,6771.0×
amerivantage44$10,070$10,400$10,8251.1×
medica exchange insure44$18,701$18,701$18,7011.0×
medica exchange inspire44$16,783$16,783$16,7831.0×
community partners health plan (cphp)33$17,171$17,171$21,6371.3×
amerigroup33$9,302.64$9,302.64$10,1911.1×
osfdan33$80$80$17,062213.3×
phcs33$70$75.7$9,628.5137.6×
zing33$11,152$12,105$15,8501.4×
meridian health plan23$10,143$10,143$10,8251.1×
oscar33$12,196$14,816$16,6891.4×
community partners health plans22$18,339$18,339$18,3391.0×
apwu health plan [216]22$20,691$20,691$20,6911.0×
clear spring22$11,019$11,019$11,0191.0×
illinicare health plan22$13,223$13,223$13,2231.0×
imagine health22$12,196$12,196$12,1961.0×
mail handlers [495]22$19,137$19,137$19,1371.0×
medica22$10,480$30,026$49,5714.7×
health alliance [224]22$16,703$16,703$16,7031.0×
hfn12$57.7$67.85$781.4×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
MENDOTA COMMUNITY HOSPITALMENDOTAIL2$8,366.52$9,962.93$11,559
SWEDISHAMERICAN HOSPITALROCKFORDIL12$63,025$10,084$9,135.3$9,135.3$25,821
ST. ALEXIUS MEDICAL CENTERHOFFMAN ESTATESIL12$1,920$8,770.9$14,068
VALLEY WEST COMMUNITY HOSPITALSANDWICHIL9$25,044$17,531$25.4$87.5$35,376
MEMORIAL HOSPITAL EASTSHILOHIL36$40,279$24,167$48.5$87$24,146
ALEXIAN BROTHERS MEDICAL CENTERELK GROVE VILLAGEIL12$1,920$8,622.32$13,830
ALTON MEMORIAL HOSPITALALTONIL35$42,244$25,346$48.5$86$24,146
OSF SAINT LUKE MEDICAL CENTERKEWANEEIL2$80$84.95$89.9
OSF HOLY FAMILY MED CTRMONMOUTHIL2$68$73.4$73.9
OSF SAINT CLARE MEDICAL CENTERPRINCETONIL2$54.1$64.7$72.3
HOOPESTON COMMUNITY MEMORIAL HOSPITAHOOPSETONIL1$3,553.21$3,553.21$3,553.21
RICHLAND MEMORIAL HOSPITALOLNEYIL1$3,553.21$3,553.21$3,553.21
ADVOCATE LUTHERAN GENERAL HOSPITALPARK RIDGEIL8$14,329$21,289$28,677
ADVOCATE CHRIST HOSPITALOAK LAWNIL8$14,329$20,029$28,373
GOOD SHEPHERD HOSPITALBARRINGTONIL8$12,830$20,029$27,918
ADVOCATE SOUTHLAND HOSPITALCHICAGOIL8$14,329$20,029$27,918
ADVOCATE GOOD SAMARITAN HOSPITALDOWNERS GROVEIL8$14,329$20,029$27,918
ADVOCATE NORTHSIDE HEALTH SYSTEMCHICAGOIL8$14,329$19,875$27,918
SOUTH SUBURBAN HOSPITALHAZELCRESTIL4$19,361$19,695$25,637
ALEXIAN BROTHERS BEHAVIORAL HEALTHHOFFMAN ESTATESIL1$1,920$1,920$1,920
CONDELL MEDICAL CENTERLIBERTYVILLEIL8$13,026$17,184$27,918
CARLE EUREKA HOSPITALEUREKAIL7$11,990$16,645$25,881
UNIVERSITY OF CHICAGO HOSPITALSCHICAGOIL16$33$15,850$26,582
ADVOCATE SHERMAN HOSPITALELGINIL9$10,720$15,600$27,918
SAINT FRANCIS MEDICAL CENTERPEORIAIL12$57.1$15,494$29,084
PRESENCE SAINTS MARY & ELIZABETH MEDCHICAGOIL15$9,634.62$15,202$21,788
HARDIN COUNTY GENERAL HOSPITALROSICLAREIL9$6,558.93$14,539$21,889
RED BUD REGIONAL HOSPITALRED BUDIL2$11,875$12,493$13,111
VISTA MEDICAL CENTER - EASTWAUKEGANIL6$87,550$87,550$5,059.75$12,119$16,902
INGALLS MEMORIAL HOSPITALHARVEYIL11$8,939.1$12,105$17,845
CARLE FOUNDATION HOSPITALURBANAIL9$12,105$12,105$28,244
ST. MARY MEDICAL CENTERGALESBURGIL13$90$11,350$20,791
LITTLE COMPANY OF MARYEVERGREEN PARKIL13$90$11,350$20,791
PRESENCE SAINT JOSEPH HOSPITAL ELGINELGINIL9$10,677$11,211$17,296
PRESENCE SAINT FRANCIS HOSPITALEVANSTONIL9$10,677$11,211$17,296
PRESENCE SAINT JOSEPH HOSP-CHICAGOCHICAGOIL9$10,677$11,211$17,296
PRESENCE ST. MARYS HOSPITALKANKAKEEIL9$10,677$11,211$17,296
OTTAWA REGIONAL HOSPITAL & HEALTHCAROTTAWAIL12$57.3$11,068$21,827
OSF SAINT ANTHONYS HEALTH CENTERALTONIL11$70$10,987$49,571
TRINITY ROCK ISLANDROCK ISLANDIL14$7,232.94$10,825$18,701
CARLE BROMENN MEDICAL CENTERNORMALIL10$10,786$10,786$25,881
SAINT ANTHONY MEDICAL CENTERROCKFORDIL17$56.3$10,780$23,037
METHODIST MEDICAL CTR OF ILLINOISPEORIAIL11$10,191$10,731$18,701
OSF HEART OF MARY MEDICAL CENTERURBANAIL10$64$10,699$22,174
OSF SACRED HEART MEDICAL CENTERDANVILLEIL10$64$10,699$22,174
ST. JOSEPH MEDICAL CENTERBLOOMINGTONIL13$40.6$10,690$20,866
HEARTLAND REGIONAL MEDICAL CENTERMARIONIL16$9,636.14$10,295$28,908
SAINT JAMES HOSPITALPONTIACIL10$70$10,192$22,722
PEKIN MEMORIAL HOSPITALPEKINIL11$9,302.64$10,089$18,701
PROCTOR HOSPITALPEORIAIL11$9,302.64$10,089$18,701
ANDERSON HOSPITALMARYVILLEIL0
THOREK MEMORIAL HOSPITALCHICAGOIL0
GATEWAY REGIONALGRANITE CITYIL0$49,031$29,419
COMMUNITY HOSPITAL OF STAUNTONSTAUNTONIL0
JACKSONVILLE MEMORIAL HOSPITALJACKSONVILLEIL0
MEMORIAL MEDICAL CENTERSPRINGFIELDIL0
BOARD OF TRUSTEES OF THE UNIVERSITYCHICAGOIL0$41,380$28,966
JACKSONVILLE MEMORIAL HOSPITALJACKSONVILLEIL0
DECATUR MEMORIAL HOSPITALDECATURIL0
ST. BERNARD HOSPITALCHICAGOIL0

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.