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Hip & femur procedures except major joint w CC

MS-DRG 481 · negotiated-rate distribution across hospitals in IL

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Hospitals
57
Min
$64.70
Median
$17,416
Max
$33,854
Range multiplier
523.2×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield44136$40.60$21,774$46,5731147.1×
UnitedHealthcare43108$72.20$21,005$43,369600.7×
Aetna4190$33.00$17,760$42,3611283.7×
Humana2947$13,928$17,419$47,4513.4×
Cigna2543$57.30$23,587$46,079804.2×
Molina2828$14,346$18,290$34,5812.4×
Medicare1025$13,928$17,419$19,1611.4×
Ambetter1717$21,035$29,321$36,5081.7×
WellCare1415$16,328$17,181$19,8381.2×
health alliance plan610$16,464$18,319$36,7222.2×
meridian1010$16,464$17,088$19,6421.2×
Oscar Health99$30,332$30,332$30,3321.0×
healthlink99$73.40$30,475$39,603539.5×
hstechnology99$38,825$38,825$38,8251.0×
Medicare Advantage19$14,904$14,904$16,3951.1×
smarthealth77$11,771$24,386$24,3862.1×
Multiplan77$75.00$90.00$42,225563.0×
allied benefits [498]26$58.00$74.30$40,696701.7×
healthlink [225]26$48.50$65.00$75.501.6×
Bright Health66$17,410$21,774$21,7741.3×
cox health systems insurance company [220]26$55.00$55.00$65.001.2×
caterpillar55$28,693$28,808$35,6111.2×
consociate [478]24$21,611$23,233$24,8541.2×
First Health44$74.30$9,406.75$25,178338.9×
Anthem BCBS14$10,022$14,430$21,7882.2×
health partners open network44$19,257$22,307$23,1561.2×
med-pay [480]24$65.00$70.00$75.001.2×
iowa total care44$12,895$14,793$16,2051.3×
amerivantage44$15,519$16,077$16,9901.1×
unicare [568]24$65.00$70.25$75.501.2×
TRICARE44$17,419$17,419$17,4191.0×
phcs [244]24$75.00$77.50$80.001.1×
medica exchange insure44$28,821$28,821$28,8211.0×
medica exchange inspire44$25,865$25,865$25,8651.0×
community partners health plan (cphp)33$28,014$28,014$35,3011.3×
amerigroup33$14,793$14,793$16,2051.1×
osfdan33$80.00$80.00$27,836347.9×
phcs33$70.00$75.70$15,709224.4×
meridian health plan23$16,328$16,328$16,9901.0×
oscar33$19,898$24,173$27,2291.4×
zing33$17,846$18,739$25,1781.4×
coresource [497]22$40,696$40,696$40,6961.0×
apwu health plan [216]22$20,638$20,638$20,6381.0×
community partners health plans22$29,920$29,920$29,9201.0×
medica22$16,774$48,825$80,8754.8×
clear spring22$17,658$17,658$17,6581.0×
health systems inc [620]22$75.00$75.00$75.001.0×
mail handlers [495]22$40,696$40,696$40,6961.0×
medica [661]22$80.00$80.00$80.001.0×
health alliance [224]22$23,565$23,565$23,5651.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Memorial Hospital EastShilohIL36$64,787$38,872$48.50$87.00$40,696
Alton Memorial HospitalAltonIL35$65,905$39,543$48.50$86.00$40,696
Osf Saint Luke Medical CenterKewaneeIL2$80.00$84.95$89.90
Osf Holy Family Med CtrMonmouthIL2$68.00$73.40$73.90
Osf Saint Clare Medical CenterPrincetonIL2$54.10$64.70$72.30
Richland Memorial HospitalOlneyIL1$3,553.21$3,553.21$3,553.21
Hoopeston Community Memorial HospitaHoopsetonIL1$3,553.21$3,553.21$3,553.21
Advocate Lutheran General HospitalPark RidgeIL8$22,787$33,854$45,602
Good Shepherd HospitalBarringtonIL8$20,402$31,605$44,395
Advocate Good Samaritan HospitalDowners GroveIL8$22,787$31,605$44,395
Advocate Christ HospitalOak LawnIL8$22,787$31,605$45,119
Advocate Southland HospitalChicagoIL8$22,787$31,605$44,395
Advocate Northside Health SystemChicagoIL8$22,787$30,332$44,395
South Suburban HospitalHazelcrestIL4$29,321$29,827$38,825
Condell Medical CenterLibertyvilleIL8$20,714$27,326$44,395
Carle Eureka HospitalEurekaIL7$18,813$26,824$42,225
Saint Francis Medical CenterPeoriaIL12$57.10$25,279$47,451
University Of Chicago HospitalsChicagoIL16$33.00$25,178$43,369
Advocate Sherman HospitalElginIL9$17,047$24,808$44,395
Hardin County General HospitalRosiclareIL9$10,701$23,720$46,573
Red Bud Regional HospitalRed BudIL2$19,374$20,383$21,391
Vista Medical Center - EastWaukeganIL6$159,633$159,633$8,177.01$19,425$25,667
Alexian Brothers Behavioral HealthHoffman EstatesIL1$1,920.00$1,920.00$1,920.00
Carle Foundation HospitalUrbanaIL9$18,918$18,918$46,079
Ingalls Memorial HospitalHarveyIL11$14,584$18,739$29,114
Presence Saint Joseph Hosp-ChicagoChicagoIL9$17,419$18,290$28,219
Presence St. Marys HospitalKankakeeIL9$17,419$18,290$28,219
Presence Saint Francis HospitalEvanstonIL9$17,419$18,290$28,219
Presence Saint Joseph Hospital ElginElginIL9$17,419$18,290$28,219
St. Mary Medical CenterGalesburgIL13$90.00$18,188$33,920
Little Company Of MaryEvergreen ParkIL13$90.00$18,188$33,920
Ottawa Regional Hospital & HealthcarOttawaIL12$57.30$17,662$35,611
Osf Saint Anthonys Health CenterAltonIL11$70.00$17,416$80,875
Saint Anthony Medical CenterRockfordIL17$56.30$17,251$37,584
Carle Bromenn Medical CenterNormalIL10$17,181$17,181$42,225
St. Joseph Medical CenterBloomingtonIL13$40.60$17,110$34,042
Osf Heart Of Mary Medical CenterUrbanaIL10$64.00$16,992$36,176
Osf Sacred Heart Medical CenterDanvilleIL10$64.00$16,992$36,176
Trinity Rock IslandRock IslandIL14$11,502$16,990$28,821
Methodist Medical Ctr Of IllinoisPeoriaIL11$16,159$16,634$28,821
Saint James HospitalPontiacIL10$70.00$16,629$36,722
Heartland Regional Medical CenterMarionIL16$15,512$16,573$46,535
Mendota Community HospitalMendotaIL2$13,650$16,254$18,859
Presence Saints Mary & Elizabeth MedChicagoIL15$10,022$15,719$34,581
Proctor HospitalPeoriaIL11$14,793$15,548$28,821
Pekin Memorial HospitalPekinIL11$14,793$15,548$28,821
Swedishamerican HospitalRockfordIL12$215,756$34,521$14,904$14,904$42,127
St. Alexius Medical CenterHoffman EstatesIL12$1,920.00$14,310$22,952
Alexian Brothers Medical CenterElk Grove VillageIL12$1,920.00$14,067$22,563
St. Bernard HospitalChicagoIL0
Board Of Trustees Of The UniversityChicagoIL0$104,355$73,049
Anderson HospitalMaryvilleIL0
Decatur Memorial HospitalDecaturIL0
Memorial Medical CenterSpringfieldIL0
Jacksonville Memorial HospitalJacksonvilleIL0
Thorek Memorial HospitalChicagoIL0
Jacksonville Memorial HospitalJacksonvilleIL0

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.