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Initial hospital care, high complexity

CPT 99223 · negotiated-rate distribution across hospitals in IL

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Hospitals
37
Min
$130.3
Median
$351.45
Max
$957.16
Range multiplier
7.3×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield2989$38$351.45$1,007.8126.5×
Aetna1769$50.8$162.24$549.5410.8×
UnitedHealthcare1541$100.4$200$484.944.8×
Humana1633$38$163.56$484.9412.8×
Cigna1524$82$336.22$518.626.3×
Molina1122$114.6$159.81$275.042.4×
Medicare Advantage121$158.96$158.96$174.861.1×
Multiplan813$160$336.96$830.75.2×
WellCare713$121.97$158.97$168.471.4×
meridian912$57.3$158.97$549.549.6×
healthlink47$372.45$406.25$830.72.2×
Medicare27$158.96$158.96$166.321.0×
meridian health plan26$121.97$161.31$166.321.4×
prime health services36$151.11$253.19$3512.3×
Medicaid45$121.97$549.54$549.544.5×
amerivantage44$166.32$166.32$166.321.0×
health partners open network44$336.33$336.33$336.331.0×
deaconess onecare24$159.06$170.1$176.641.1×
mychoice wi medical adv13$158.96$158.96$158.961.0×
umwa23$159.06$163.56$163.561.0×
ecoh13$351.48$365.71$392.121.1×
alliance coal23$225.71$225.71$262.451.2×
Self-Pay (Cash)33$163.8$163.8$163.81.0×
noncontracted23$254.5$261.7$261.71.0×
health alliance23$158.4$461.5$692.254.4×
county care22$549.54$549.54$549.541.0×
alter-net medical services, inc.12$261.7$357.51$453.321.7×
care improvement plus22$162.24$164.54$166.831.0×
deidentifiedhigher22$441.6$448.05$454.51.0×
deidentifiedlower22$441.6$448.05$454.51.0×
family health plan22$549.54$549.54$549.541.0×
First Health22$200$310.6$421.22.1×
grosschargerate22$505$528.5$5521.1×
harmony health plan22$549.54$549.54$549.541.0×
health's finest network [126]12$90$130$1701.9×
hfn12$351.48$371.8$392.121.1×
illinicare22$549.54$549.54$549.541.0×
mytru advantage12$159.06$161.31$163.561.0×
paymentrate22$441.6$448.05$454.51.0×
paymentratepercent22$80$85$901.1×
healthcare's finest network (hfn)11$397.8$397.8$397.81.0×
global excel [1712]11$38$38$381.0×
community partners health plan (cphp)11$343.8$343.8$343.81.0×
claimdoc11$204.45$204.45$204.451.0×
choicecare [177]11$134.8$134.8$134.81.0×
alliance11$524.58$524.58$524.581.0×
mytruadvantage11$163.56$163.56$163.561.0×
national provider network11$397.8$397.8$397.81.0×
network health plan11$281.32$281.32$281.321.0×
beloit healt system11$351.8$351.8$351.81.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
GOOD SHEPHERD HOSPITALBARRINGTONIL1$885.54$957.16$1,007.81
ADVOCATE NORTHSIDE HEALTH SYSTEMCHICAGOIL1$885.54$957.16$1,007.81
SOUTH SUBURBAN HOSPITALHAZELCRESTIL1$883.37$954.99$1,004.91
ADVOCATE GOOD SAMARITAN HOSPITALDOWNERS GROVEIL1$879.75$951.38$1,001.3
ADVOCATE SOUTHLAND HOSPITALCHICAGOIL1$879.75$951.38$1,001.3
ADVOCATE LUTHERAN GENERAL HOSPITALPARK RIDGEIL1$871.79$941.97$991.89
ADVOCATE CHRIST HOSPITALOAK LAWNIL1$859.49$928.95$978.14
CONDELL MEDICAL CENTERLIBERTYVILLEIL1$542.22$586.28$616.82
ST. ALEXIUS MEDICAL CENTERHOFFMAN ESTATESIL8$500.94$549.54$549.54
ALEXIAN BROTHERS MEDICAL CENTERELK GROVE VILLAGEIL9$500.94$549.54$549.54
ALEXIAN BROTHERS BEHAVIORAL HEALTHHOFFMAN ESTATESIL4$220.69$500.94$549.54
PRESENCE SAINTS MARY & ELIZABETH MEDCHICAGOIL4$281.32$484.94$524.58
HAMMOND-HENRY HOSPITALGENESEOIL5$90$454.5$505
ADVOCATE SHERMAN HOSPITALELGINIL1$414.2$447.57$471.12
MARSHALL BROWNING HOSPITALDUQUOINIL5$80$441.6$552
PRESENCE SAINT JOSEPH HOSP-CHICAGOCHICAGOIL1$351.45$351.45$519.72
PRESENCE SAINT FRANCIS HOSPITALEVANSTONIL1$351.45$351.45$519.72
PRESENCE ST. MARYS HOSPITALKANKAKEEIL1$351.45$351.45$519.72
PRESENCE SAINT JOSEPH HOSPITAL ELGINELGINIL1$351.45$351.45$519.72
PEKIN MEMORIAL HOSPITALPEKINIL8$453$362.4$158.4$284.9$452.74
PROCTOR HOSPITALPEORIAIL8$453$362.4$158.4$284.9$452.74
METHODIST MEDICAL CTR OF ILLINOISPEORIAIL8$453$362.4$158.4$284.9$452.74
RED BUD REGIONAL HOSPITALRED BUDIL6$468$163.8$163.8$280.8$365.04
CARLE EUREKA HOSPITALEUREKAIL11$573$573$57.3$257.85$481.32
HOOPESTON COMMUNITY MEMORIAL HOSPITAHOOPSETONIL10$625$625$82$187.5$543.75
RICHLAND MEMORIAL HOSPITALOLNEYIL10$625$625$82$187.5$543.75
KIRBY HOSPITALMONTICELLOIL9$923$553.8$118.68$184.6$830.7
TRINITY ROCK ISLANDROCK ISLANDIL12$453$362.4$158.4$178.04$570.72
UNION COUNTY HOSPITAL DISTRICTANNAIL19$468$163.8$121.97$163.68$351
HEARTLAND REGIONAL MEDICAL CENTERMARIONIL22$468$163.8$121.97$163.56$453.32
CARLE FOUNDATION HOSPITALURBANAIL7$122.29$158.97$162.15
CARLE BROMENN MEDICAL CENTERNORMALIL7$122.29$158.97$158.97
SWEDISHAMERICAN HOSPITALROCKFORDIL19$606.55$97.05$121.97$158.96$606.55
VALLEY WEST COMMUNITY HOSPITALSANDWICHIL12$200$140$38$130.3$200
WASHINGTON COUNTY HOSPITALNASHVILLEIL0$551$440.8
BOARD OF TRUSTEES OF THE UNIVERSITYCHICAGOIL0$1,138$341.4
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.