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PCI with drug-eluting stent

CPT 92928 · negotiated-rate distribution across hospitals in IL

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Hospitals
40
Min
$407.02
Median
$8,971.51
Max
$22,406
Range multiplier
55.0×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield24176$85.00$12,416$30,629360.3×
Aetna31121$74.30$10,665$32,177433.1×
UnitedHealthcare31116$74.30$11,789$31,809428.1×
Cigna2880$80.00$12,168$29,757372.0×
Multiplan1953$75.00$20,056$31,809424.1×
Humana1640$501.00$1,372.13$28,45056.8×
advocate employee938$5,649.96$10,770$16,5452.9×
Molina1837$408.11$5,386.50$17,14142.0×
private healthcare systems936$9,607.80$17,769$33,3663.5×
Medicare Advantage130$501.00$506.01$12,97425.9×
Medicare315$501.00$10,653$12,05824.1×
meridian514$316.50$1,433.30$12,37139.1×
cox health systems insurance company [220]212$55.00$65.00$8,135.60147.9×
Ambetter1011$502.96$17,141$18,91537.6×
WellCare511$408.11$583.11$12,37130.3×
Oscar Health99$17,732$17,732$17,7321.0×
hstechnology99$22,698$22,698$22,6981.0×
amerivantage48$528.11$5,753.46$12,41323.5×
healthlink38$2,057.25$8,758.10$15,2627.4×
health partners open network48$1,216.27$7,937.56$16,47213.5×
allied benefits [498]28$58.00$4,326.83$31,216538.2×
ecoh18$1,387.65$7,589.28$11,7808.5×
consociate [478]28$7,987.68$10,693$13,3991.7×
meridian health plan27$408.11$566.13$12,41330.4×
phcs [244]26$75.00$80.00$11,834157.8×
prime health services36$537.82$1,237.50$11,23120.9×
med-pay [480]26$65.00$75.00$11,094170.7×
healthlink [225]26$48.50$65.00$75.501.6×
First Health55$74.30$1,485.00$31,809428.1×
medica exchange inspire44$4,187.44$7,947.61$8,543.102.0×
health alliance [224]24$55.00$4,095.30$8,135.60147.9×
hope trust [806]24$58.00$4,318.68$8,579.36147.9×
medica exchange insure44$4,698.88$8,894.00$9,558.842.0×
deaconess onecare24$566.13$849.19$11,82220.9×
Anthem BCBS14$16,034$23,085$48,8433.0×
community partners health plan (cphp)34$1,899.00$8,084.40$10,5655.6×
unicare [568]24$65.00$70.25$75.501.2×
mychoice wi medical adv14$501.00$501.00$11,79423.5×
healthlink hmo44$30,632$30,632$30,6321.0×
healthscope benefits [258]24$6,656.40$11,858$17,0602.6×
hfn14$1,387.65$4,592.07$11,7808.5×
iowa total care44$8,822.52$9,399.92$10,9261.2×
sarah bush lincoln [636]24$7,987.68$10,693$13,3991.7×
medica [661]24$80.00$5,956.80$11,834147.9×
healthcare sol mercy [609]24$75.00$5,584.50$11,094147.9×
noncontracted23$905.81$905.81$18,91520.9×
amerigroup33$9,399.92$9,399.92$10,9261.2×
Self-Pay (Cash)33$577.50$577.50$577.501.0×
umwa23$566.13$566.13$11,82220.9×
alliance coal23$781.26$781.26$19,50625.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Red Bud Regional HospitalRed BudIL6$1,650.00$577.50$577.50$990.00$1,287.00
Pekin Memorial HospitalPekinIL12$18,138$14,511$502.96$8,971.51$30,905
Proctor HospitalPeoriaIL12$18,138$14,511$502.96$8,971.51$30,905
Presence St. Marys HospitalKankakeeIL4$43,760$14,441$7,429.00$8,425.00$30,632
Presence Saint Joseph Hosp-ChicagoChicagoIL4$43,760$14,441$7,429.00$8,425.00$30,632
Presence Saint Joseph Hospital ElginElginIL4$43,760$14,441$7,429.00$8,425.00$30,632
Presence Saint Francis HospitalEvanstonIL4$43,760$14,441$7,429.00$8,425.00$30,632
Carle Bromenn Medical CenterNormalIL11$13,474$13,474$587.67$8,353.88$12,371
Memorial Hospital EastShilohIL35$44,174$26,505$48.50$7,987.68$31,216
Alton Memorial HospitalAltonIL36$75,179$45,107$25.00$7,780.59$31,216
Union County Hospital DistrictAnnaIL19$1,650.00$577.50$408.11$571.79$1,237.50
Kirby HospitalMonticelloIL5$397.09$407.02$881.51
Trinity Rock IslandRock IslandIL15$18,660$14,928$502.96$3,047.72$32,177
Methodist Medical Ctr Of IllinoisPeoriaIL12$15,983$12,786$502.96$2,920.00$29,124
Presence Saints Mary & Elizabeth MedChicagoIL5$31,027$16,444$881.30$22,406$48,843
Advocate Lutheran General HospitalPark RidgeIL11$37,490$18,745$12,309$21,532$33,366
Carle Eureka HospitalEurekaIL11$13,474$13,474$82.00$2,106.31$12,371
Good Shepherd HospitalBarringtonIL11$37,860$18,930$10,165$19,687$30,629
Valley West Community HospitalSandwichIL12$31,809$22,266$6,043.71$18,354$31,809
Advocate Good Samaritan HospitalDowners GroveIL11$33,610$16,805$9,538.74$17,605$27,291
Condell Medical CenterLibertyvilleIL11$30,500$15,250$10,015$17,111$24,400
South Suburban HospitalHazelcrestIL11$23,380$11,690$9,211.72$17,011$25,111
Alexian Brothers Medical CenterElk Grove VillageIL2$7,607.00$16,990$17,154
Alexian Brothers Behavioral HealthHoffman EstatesIL2$7,607.00$16,990$17,154
St. Alexius Medical CenterHoffman EstatesIL2$7,607.00$16,990$17,154
Advocate Northside Health SystemChicagoIL11$25,070$12,535$9,542.68$15,725$25,111
Advocate Southland HospitalChicagoIL11$23,380$11,690$9,211.72$15,478$25,111
Swedishamerican HospitalRockfordIL26$23,280$3,724.80$408.11$1,351.14$20,812
Carle Foundation HospitalUrbanaIL11$17,955$17,955$587.67$11,868$15,262
Advocate Sherman HospitalElginIL11$23,420$11,710$5,346.11$11,574$22,698
Advocate Christ HospitalOak LawnIL11$17,210$8,605.00$5,649.96$10,664$25,111
Vista Medical Center - EastWaukeganIL6$70,016$70,016$4,200.99$10,263$16,874
Heartland Regional Medical CenterMarionIL22$1,650.00$577.50$408.11$1,023.00$33,692
Anderson HospitalMaryvilleIL0$21,892$10,946
Memorial Medical CenterSpringfieldIL0$17,235$17,235
Jacksonville Memorial HospitalJacksonvilleIL0$17,235$17,235
Decatur Memorial HospitalDecaturIL0$17,235$17,235
Board Of Trustees Of The UniversityChicagoIL0$21,631$15,142
Gateway RegionalGranite CityIL0$88,719$53,231
Jacksonville Memorial HospitalJacksonvilleIL0$17,235$17,235

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.