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Initial hospital care, moderate complexity

CPT 99222 · negotiated-rate distribution across hospitals in IL

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Hospitals
36
Min
$119.28
Median
$239.25
Max
$651.59
Range multiplier
5.5×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield2886$86.42$239.25$686.077.9×
Aetna1665$86.42$132.30$525.426.1×
UnitedHealthcare1438$109.60$165.62$481.324.4×
Humana1532$91.94$124.86$328.633.6×
Cigna1422$82.00$302.50$384.564.7×
Molina1122$79.40$120.70$190.562.4×
Medicare Advantage121$119.28$119.28$131.211.1×
WellCare713$88.82$122.74$132.301.5×
meridian912$39.70$122.84$374.109.4×
Multiplan710$193.20$395.48$548.102.8×
Medicare27$119.28$119.28$124.591.0×
healthlink47$258.05$409.50$493.201.9×
prime health services36$113.21$179.10$241.502.1×
meridian health plan26$88.82$121.01$124.591.4×
Medicaid45$88.82$374.10$374.104.2×
health partners open network44$227.51$227.51$227.511.0×
deaconess onecare24$119.17$127.76$132.671.1×
amerivantage44$124.59$124.59$124.591.0×
mychoice wi medical adv13$119.28$119.28$119.281.0×
ecoh13$237.68$247.30$265.161.1×
Self-Pay (Cash)33$112.70$112.70$112.701.0×
alliance coal23$169.52$169.52$196.621.2×
noncontracted23$190.66$196.54$196.541.0×
health alliance23$118.66$274.00$411.003.5×
umwa23$119.17$122.84$122.841.0×
grosschargerate22$378.00$399.00$420.001.1×
alter-net medical services, inc.12$196.54$268.08$339.621.7×
care improvement plus22$121.55$123.43$125.301.0×
county care22$374.10$374.10$374.101.0×
deidentifiedhigher22$302.40$340.20$378.001.3×
deidentifiedlower22$302.40$340.20$378.001.3×
family health plan22$374.10$374.10$374.101.0×
harmony health plan22$374.10$374.10$374.101.0×
hfn12$237.68$251.42$265.161.1×
illinicare22$374.10$374.10$374.101.0×
mytru advantage12$119.17$121.01$122.841.0×
paymentrate22$302.40$340.20$378.001.3×
paymentratepercent22$80.00$85.00$90.001.1×
First Health11$289.80$289.80$289.801.0×
community partners health plan (cphp)11$238.20$238.20$238.201.0×
claimdoc11$153.55$153.55$153.551.0×
alliance11$354.71$354.71$354.711.0×
mytruadvantage11$122.84$122.84$122.841.0×
national provider network11$273.70$273.70$273.701.0×
network health plan11$210.14$210.14$210.141.0×
beloit healt system11$240.21$240.21$240.211.0×
Workers Comp11$224.39$224.39$224.391.0×
wps11$207.08$207.08$207.081.0×
phcs11$193.50$193.50$193.501.0×
bc illinois community11$120.70$120.70$120.701.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Good Shepherd HospitalBarringtonIL1$602.83$651.59$686.07
Advocate Northside Health SystemChicagoIL1$602.83$651.59$686.07
South Suburban HospitalHazelcrestIL1$601.35$650.11$684.10
Advocate Good Samaritan HospitalDowners GroveIL1$598.89$647.65$681.63
Advocate Southland HospitalChicagoIL1$598.89$647.65$681.63
Advocate Lutheran General HospitalPark RidgeIL1$593.47$641.25$675.23
Advocate Christ HospitalOak LawnIL1$585.10$632.38$665.87
Condell Medical CenterLibertyvilleIL1$369.12$399.11$419.90
Alexian Brothers Behavioral HealthHoffman EstatesIL4$150.56$379.33$384.56
Hammond-Henry HospitalGeneseoIL5$90.00$378.00$420.00
St. Alexius Medical CenterHoffman EstatesIL8$353.05$374.10$384.56
Alexian Brothers Medical CenterElk Grove VillageIL9$353.05$374.10$384.56
Presence Saints Mary & Elizabeth MedChicagoIL4$210.14$328.63$354.71
Advocate Sherman HospitalElginIL1$281.96$304.68$320.72
Marshall Browning HospitalDuquoinIL5$80.00$302.40$378.00
Presence Saint Joseph Hosp-ChicagoChicagoIL1$239.25$239.25$353.80
Presence Saint Francis HospitalEvanstonIL1$239.25$239.25$353.80
Presence St. Marys HospitalKankakeeIL1$239.25$239.25$353.80
Presence Saint Joseph Hospital ElginElginIL1$239.25$239.25$353.80
Proctor HospitalPeoriaIL8$308.00$246.40$118.66$213.80$307.11
Methodist Medical Ctr Of IllinoisPeoriaIL8$308.00$246.40$118.66$213.80$307.11
Pekin Memorial HospitalPekinIL8$308.00$246.40$118.66$213.80$307.11
Red Bud Regional HospitalRed BudIL6$322.00$112.70$112.70$193.20$251.16
Hoopeston Community Memorial HospitaHoopsetonIL10$630.00$630.00$82.00$189.00$548.10
Richland Memorial HospitalOlneyIL10$630.00$630.00$82.00$189.00$548.10
Carle Eureka HospitalEurekaIL11$397.00$397.00$39.70$178.65$333.48
Kirby HospitalMonticelloIL9$548.00$328.80$86.42$137.91$493.20
Trinity Rock IslandRock IslandIL12$308.00$246.40$118.66$134.14$430.74
Union County Hospital DistrictAnnaIL19$322.00$112.70$88.82$122.84$241.50
Heartland Regional Medical CenterMarionIL22$322.00$112.70$88.82$122.84$339.62
Carle Foundation HospitalUrbanaIL7$91.94$119.28$121.67
Carle Bromenn Medical CenterNormalIL7$91.94$119.28$119.28
Swedishamerican HospitalRockfordIL19$414.15$66.26$88.82$119.28$414.15
Washington County HospitalNashvilleIL0$416.00$332.80
Board Of Trustees Of The UniversityChicagoIL0$777.00$233.10
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.