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Shoulder arthroscopy with decompression

CPT 29826 · negotiated-rate distribution across hospitals in IL

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Hospitals
25
Min
$55.9
Median
$530.4
Max
$4,561.5
Range multiplier
81.6×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare2271$50.2$3,181$6,291125.3×
Aetna1250$25.4$166.81$3,000.02118.1×
Blue Cross Blue Shield1249$6.9$169.85$5,541.45803.1×
Humana1429$19$161.95$3,100.8163.2×
Medicare Advantage121$155.89$155.89$171.481.1×
Molina916$154.35$169.85$530.43.4×
Cigna1012$6.9$403.73$2,790.72404.5×
WellCare511$152.82$166.7$171.71.1×
Multiplan69$85$457.58$2,790.7232.8×
meridian58$92.6$165.98$444.484.8×
Medicare27$155.89$155.89$159.421.0×
meridian health plan26$152.82$163.06$169.851.1×
prime health services36$145.18$1,532.69$2,90720.0×
amerivantage44$159.42$159.42$159.421.0×
deaconess onecare24$152.82$254.22$341.732.2×
health partners open network44$329.08$329.08$329.081.0×
health alliance23$151.83$1,326$1,98913.1×
alliance coal23$230.05$230.05$252.151.1×
ecoh13$405.01$427$465.491.1×
healthlink23$601.9$601.9$2,386.84.0×
Medicaid23$6.9$169.85$169.8524.6×
mychoice wi medical adv13$155.89$155.89$155.891.0×
noncontracted23$244.51$266.72$266.721.1×
Self-Pay (Cash)33$1,356.6$1,356.6$1,356.61.0×
umwa23$152.82$166.7$166.71.1×
health's finest network [126]12$45$65$851.9×
hfn12$405.01$435.25$465.491.1×
care improvement plus22$155.88$162.96$170.031.1×
alter-net medical services, inc.12$266.72$351.13$435.541.6×
mytru advantage12$152.82$159.76$166.71.1×
First Health22$100$1,794.2$3,488.434.9×
wps11$2,770.73$2,770.73$2,770.731.0×
choicecare [177]11$67.4$67.4$67.41.0×
global excel [1712]11$19$19$191.0×
mercy care11$3,879.02$3,879.02$3,879.021.0×
beloit healt system11$3,214.04$3,214.04$3,214.041.0×
bc illinois community11$318.43$318.43$318.431.0×
meridian health plan hmo [1604]11$6.9$6.9$6.91.0×
Ambetter11$151.83$151.83$151.831.0×
countycare il cook co [1607]11$6.9$6.9$6.91.0×
alliance premier network11$341.98$341.98$341.981.0×
community partners health plan (cphp)11$555.6$555.6$555.61.0×
mytruadvantage11$166.7$166.7$166.71.0×
national provider network11$3,294.6$3,294.6$3,294.61.0×
network health plan11$267.05$267.05$267.051.0×
alliance11$614.78$614.78$614.781.0×
phcs11$457.58$457.58$457.581.0×
alter-net11$266.72$266.72$266.721.0×
quartz aso11$384.94$384.94$384.941.0×
quartz fully insured11$340.89$340.89$340.891.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
PRESENCE SAINTS MARY & ELIZABETH MEDCHICAGOIL4$267.05$678.88$678.88
VALLEY WEST COMMUNITY HOSPITALSANDWICHIL16$94,877$66,414$6.9$55.9$100
KIRBY HOSPITALMONTICELLOIL9$2,652$1,591.2$165.26$530.4$2,386.8
ADVOCATE SOUTHLAND HOSPITALCHICAGOIL1$3,181$4,561.5$6,291
ADVOCATE GOOD SAMARITAN HOSPITALDOWNERS GROVEIL1$3,181$4,561.5$6,291
SOUTH SUBURBAN HOSPITALHAZELCRESTIL1$3,181$4,561.5$6,291
GOOD SHEPHERD HOSPITALBARRINGTONIL1$3,181$4,561.5$6,291
ADVOCATE CHRIST HOSPITALOAK LAWNIL1$3,181$4,561.5$6,291
ADVOCATE LUTHERAN GENERAL HOSPITALPARK RIDGEIL1$3,181$4,561.5$6,291
ADVOCATE NORTHSIDE HEALTH SYSTEMCHICAGOIL1$3,181$4,561.5$6,291
CARLE EUREKA HOSPITALEUREKAIL11$926$926$82$416.7$777.84
ADVOCATE SHERMAN HOSPITALELGINIL1$3,260$3,655.5$4,116
CONDELL MEDICAL CENTERLIBERTYVILLEIL1$3,202$3,638.5$4,528
PROCTOR HOSPITALPEORIAIL8$1,326$1,060.8$151.83$330.5$538.56
PEKIN MEMORIAL HOSPITALPEKINIL8$1,326$1,060.8$151.83$330.5$538.56
METHODIST MEDICAL CTR OF ILLINOISPEORIAIL8$1,326$1,060.8$151.83$330.5$538.56
TRINITY ROCK ISLANDROCK ISLANDIL12$1,326$1,060.8$151.83$323.76$857.17
RED BUD REGIONAL HOSPITALRED BUDIL6$3,876$1,356.6$208.38$2,325.6$3,023.28
UNION COUNTY HOSPITAL DISTRICTANNAIL19$3,876$1,356.6$158.37$170.03$2,907
HEARTLAND REGIONAL MEDICAL CENTERMARIONIL22$3,876$1,356.6$145.18$168.37$3,488.4
SWEDISHAMERICAN HOSPITALROCKFORDIL19$5,541.45$886.63$155.89$155.89$5,541.45
CARLE BROMENN MEDICAL CENTERNORMALIL7$155.89$155.89$166.81
CARLE FOUNDATION HOSPITALURBANAIL7$155.89$155.89$166.81
ANDERSON HOSPITALMARYVILLEIL0
BOARD OF TRUSTEES OF THE UNIVERSITYCHICAGOIL0$1,069$320.7

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.