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Initial hospital care, low complexity

CPT 99221 · negotiated-rate distribution across hospitals in IL

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Hospitals
36
Min
$60.45
Median
$174.90
Max
$476.33
Range multiplier
7.9×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield2896$20.58$174.90$501.5424.4×
Aetna1693$20.58$76.86$273.4813.3×
UnitedHealthcare1449$20.58$78.47$241.7411.7×
Molina1138$18.60$60.08$140.167.5×
Humana1537$20.58$76.87$241.7411.7×
Cigna1627$57.66$158.55$283.364.9×
Medicare Advantage121$76.86$76.86$84.551.1×
meridian920$9.30$60.93$273.4829.4×
Multiplan918$69.75$132.60$349.205.0×
healthlink617$60.45$142.80$349.205.8×
WellCare715$20.58$76.87$80.663.9×
Medicare27$76.86$76.86$78.471.0×
meridian health plan26$61.76$76.70$78.471.3×
prime health services36$71.32$118.95$163.502.3×
Medicaid45$61.76$273.48$273.484.4×
health partners open network44$167.73$167.73$167.731.0×
community partners health plan (cphp)34$55.80$78.83$175.203.1×
deaconess onecare24$75.08$81.44$84.571.1×
amerivantage44$78.47$78.47$78.471.0×
ecoh13$176.86$184.01$197.301.1×
Self-Pay (Cash)33$76.30$76.30$76.301.0×
mychoice wi medical adv13$76.86$76.86$76.861.0×
alliance coal23$108.07$108.07$123.871.1×
noncontracted23$120.12$125.30$125.301.0×
health alliance23$74.73$194.00$291.003.9×
umwa23$75.08$78.31$78.311.0×
grosschargerate22$280.00$292.50$305.001.1×
alter-net medical services, inc.12$125.30$169.63$213.961.7×
care improvement plus22$76.58$78.23$79.881.0×
county care22$273.48$273.48$273.481.0×
deidentifiedhigher22$224.00$249.25$274.501.2×
deidentifiedlower22$224.00$249.25$274.501.2×
family health plan22$273.48$273.48$273.481.0×
harmony health plan22$273.48$273.48$273.481.0×
hfn12$176.86$187.08$197.301.1×
illinicare22$273.48$273.48$273.481.0×
mytru advantage12$75.08$76.70$78.311.0×
paymentrate22$224.00$249.25$274.501.2×
paymentratepercent22$80.00$85.00$90.001.1×
First Health11$196.20$196.20$196.201.0×
claimdoc11$97.89$97.89$97.891.0×
alliance11$261.48$261.48$261.481.0×
mytruadvantage11$78.31$78.31$78.311.0×
national provider network11$185.30$185.30$185.301.0×
network health plan11$132.74$132.74$132.741.0×
beloit healt system11$177.36$177.36$177.361.0×
Workers Comp11$169.27$169.27$169.271.0×
wps11$152.90$152.90$152.901.0×
phcs11$123.40$123.40$123.401.0×
bc illinois community11$76.98$76.98$76.981.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Kirby HospitalMonticelloIL9$388.00$232.80$60.09$88.55$349.20
Trinity Rock IslandRock IslandIL12$227.00$181.60$74.73$85.06$279.06
Heartland Regional Medical CenterMarionIL22$218.00$76.30$61.76$78.31$213.96
Union County Hospital DistrictAnnaIL19$218.00$76.30$61.76$78.31$163.50
Carle Foundation HospitalUrbanaIL11$168.00$168.00$16.80$76.87$142.80
Swedishamerican HospitalRockfordIL19$305.80$48.93$61.76$76.86$305.80
Carle Eureka HospitalEurekaIL11$292.00$292.00$9.80$64.24$245.28
Hoopeston Community Memorial HospitaHoopsetonIL10$305.00$305.00$20.58$64.05$265.35
Richland Memorial HospitalOlneyIL10$305.00$305.00$20.58$64.05$265.35
Carle Bromenn Medical CenterNormalIL11$93.00$93.00$9.30$60.45$76.87
Advocate Northside Health SystemChicagoIL1$440.69$476.33$501.54
Good Shepherd HospitalBarringtonIL1$440.69$476.33$501.54
South Suburban HospitalHazelcrestIL1$439.61$475.25$500.10
Advocate Southland HospitalChicagoIL1$437.81$473.45$498.30
Advocate Good Samaritan HospitalDowners GroveIL1$437.81$473.45$498.30
Advocate Lutheran General HospitalPark RidgeIL1$433.85$468.77$493.61
Advocate Christ HospitalOak LawnIL1$427.73$462.29$486.77
Condell Medical CenterLibertyvilleIL1$269.84$291.77$306.97
Alexian Brothers Behavioral HealthHoffman EstatesIL4$113.29$278.42$283.36
Hammond-Henry HospitalGeneseoIL5$90.00$274.50$305.00
St. Alexius Medical CenterHoffman EstatesIL8$258.09$273.48$283.36
Alexian Brothers Medical CenterElk Grove VillageIL9$258.09$273.48$283.36
Presence Saints Mary & Elizabeth MedChicagoIL4$132.74$241.74$261.48
Marshall Browning HospitalDuquoinIL5$80.00$224.00$280.00
Advocate Sherman HospitalElginIL1$206.13$222.74$234.46
Presence Saint Joseph Hosp-ChicagoChicagoIL1$174.90$174.90$258.64
Presence Saint Francis HospitalEvanstonIL1$174.90$174.90$258.64
Presence St. Marys HospitalKankakeeIL1$174.90$174.90$258.64
Presence Saint Joseph Hospital ElginElginIL1$174.90$174.90$258.64
Methodist Medical Ctr Of IllinoisPeoriaIL8$227.00$181.60$74.73$135.50$226.16
Proctor HospitalPeoriaIL8$227.00$181.60$74.73$135.50$226.16
Pekin Memorial HospitalPekinIL8$227.00$181.60$74.73$135.50$226.16
Red Bud Regional HospitalRed BudIL6$218.00$76.30$76.30$130.80$170.04
Washington County HospitalNashvilleIL0$322.00$257.60
Board Of Trustees Of The UniversityChicagoIL0$584.00$175.20
Anderson HospitalMaryvilleIL0

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.