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CPT 99281 · negotiated-rate distribution across hospitals in IL

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Hospitals
49
Min
$41.55
Median
$145.81
Max
$2,415.78
Range multiplier
58.1×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield34249$10.30$142.69$3,527.66342.5×
Aetna35194$8.83$96.38$3,600.80407.8×
UnitedHealthcare35145$10.82$184.48$3,015.67278.7×
Cigna32108$21.90$202.80$3,375.75154.1×
Multiplan23100$17.28$308.00$3,600.80208.4×
Humana2588$8.57$91.79$3,600.80420.2×
Molina2562$10.51$96.92$585.1355.7×
advocate employee954$49.25$152.68$170.433.5×
private healthcare systems951$65.00$210.60$347.105.3×
Medicare1049$10.82$91.79$100.979.3×
Medicare Advantage238$11.44$12.58$1,055.9392.3×
meridian1027$10.97$60.17$226.4220.6×
healthlink923$161.10$259.25$933.975.8×
Ambetter1623$10.30$148.70$148.7014.4×
WellCare920$10.97$79.94$226.4220.6×
prime health services317$10.42$215.10$849.0681.5×
Self-Pay (Cash)515$36.05$91.79$294.348.2×
ecoh113$37.24$125.26$243.396.5×
First Health613$92.70$701.85$3,600.8038.8×
deaconess onecare312$10.97$201.43$532.0848.5×
smarthealth612$128.51$128.51$128.511.0×
Bright Health612$114.74$114.74$114.741.0×
paymentrate211$102.00$132.60$183.601.8×
hstechnology99$176.23$176.23$176.231.0×
paymentratepercent29$50.00$79.40$91.001.8×
Oscar Health99$137.68$137.68$137.681.0×
amerivantage48$10.82$48.03$96.378.9×
hope trust38$105.30$267.27$415.563.9×
TRICARE48$91.79$91.79$91.791.0×
medica exchange inspire48$14.41$54.91$115.238.0×
health partners open network48$35.89$74.86$127.903.6×
medica exchange insure48$16.17$61.45$129.318.0×
meridian health plan27$10.82$11.33$96.378.9×
health alliance27$10.30$134.25$296.1428.8×
cox health systems insurance company [220]26$521.40$521.40$616.201.2×
alliance coal36$15.14$125.37$373.5924.7×
Medicaid56$11.33$57.81$69.666.1×
hfn16$37.24$130.89$243.396.5×
umwa36$10.97$75.98$226.4220.6×
allied benefits [498]26$549.84$568.80$704.361.3×
healthlink [225]26$459.78$616.20$715.741.6×
deidentifiedlower25$102.00$116.06$169.601.7×
deidentifiedhigher24$103.50$155.78$183.601.8×
health alliance negotiated rate14$2,586.80$3,046.40$3,600.801.4×
consociate [478]24$513.82$513.82$513.821.0×
community partners health plan (cphp)34$179.40$179.43$241.241.3×
meridian negotiated rate14$323.35$380.81$450.101.4×
grosschargerate24$115.00$180.00$212.001.8×
mychoice wi medical adv14$11.44$11.44$86.157.5×
healthsmart negotiated rate14$3,071.83$3,617.60$4,275.951.4×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Presence Saint Francis HospitalEvanstonIL9$473.00$156.09$44.55$96.38$148.70
Presence Saint Joseph Hosp-ChicagoChicagoIL9$473.00$156.09$44.55$96.38$148.70
Presence Saint Joseph Hospital ElginElginIL9$473.00$156.09$44.55$96.38$148.70
Presence St. Marys HospitalKankakeeIL9$473.00$156.09$44.55$96.38$148.70
Heartland Regional Medical CenterMarionIL25$779.83$148.17$10.42$92.70$701.85
Alexian Brothers Medical CenterElk Grove VillageIL19$65.74$91.79$881.00
St. Alexius Medical CenterHoffman EstatesIL18$65.74$91.79$881.00
Carle Bromenn Medical CenterNormalIL11$299.00$299.00$8.57$90.36$224.25
Swedishamerican HospitalRockfordIL26$481.00$76.96$11.33$86.15$430.01
Presence Saints Mary & Elizabeth MedChicagoIL7$493.00$261.29$18.41$70.39$188.56
Alton Memorial HospitalAltonIL36$948.00$568.80$90.36$616.20$1,727.00
Memorial Hospital EastShilohIL35$948.00$568.80$84.46$592.50$1,727.00
Alexian Brothers Behavioral HealthHoffman EstatesIL5$25.11$576.84$881.00
Trinity Rock IslandRock IslandIL14$212.94$170.36$10.30$50.36$3,527.66
Proctor HospitalPeoriaIL10$196.15$156.92$10.30$46.37$239.96
Pekin Memorial HospitalPekinIL10$196.15$156.92$10.30$46.37$239.96
Methodist Medical Ctr Of IllinoisPeoriaIL10$439.82$351.86$10.30$41.55$226.14
Gateway RegionalGranite CityIL1$1,098.28$658.97$370.00$370.00$370.00
Sparta Community HospitalSpartaIL15$4,501.00$4,501.00$323.35$2,415.78$4,275.95
Red Bud Regional HospitalRed BudIL19$1,132.08$294.35$13.71$225.65$942.00
Advocate Lutheran General HospitalPark RidgeIL11$390.00$195.00$49.25$209.06$796.00
Advocate Christ HospitalOak LawnIL11$390.00$195.00$49.25$209.06$796.00
Advocate Southland HospitalChicagoIL11$390.00$195.00$49.25$209.06$796.00
Advocate Good Samaritan HospitalDowners GroveIL11$390.00$195.00$49.25$209.06$796.00
Good Shepherd HospitalBarringtonIL11$390.00$195.00$49.25$207.81$796.00
Advocate Northside Health SystemChicagoIL11$390.00$195.00$49.25$207.81$796.00
South Suburban HospitalHazelcrestIL11$390.00$195.00$49.25$207.81$796.00
Condell Medical CenterLibertyvilleIL11$390.00$195.00$49.25$193.52$724.00
Advocate Sherman HospitalElginIL11$390.00$195.00$49.25$176.23$724.00
Richland Memorial HospitalOlneyIL10$331.00$331.00$69.51$158.88$287.97
Hoopeston Community Memorial HospitaHoopsetonIL10$331.00$331.00$69.51$158.88$287.97
Kirby HospitalMonticelloIL13$462.00$277.20$11.02$147.52$452.76
Carle Foundation HospitalUrbanaIL11$410.00$410.00$8.57$146.40$348.50
Union County Hospital DistrictAnnaIL23$502.80$186.04$10.42$145.81$427.38
Carle Eureka HospitalEurekaIL11$299.00$299.00$8.57$134.55$251.16
Marshall Browning HospitalDuquoinIL5$74.40$124.80$212.00
Vista Medical Center - EastWaukeganIL6$765.96$765.96$45.96$122.10$961.00
Valley West Community HospitalSandwichIL11$571.00$399.70$19.00$104.25$571.00
Hammond-Henry HospitalGeneseoIL5$50.00$103.50$204.00
Jacksonville Memorial HospitalJacksonvilleIL0$458.00$458.00
Anderson HospitalMaryvilleIL0$374.50$187.25
Jackson Park HospitalChicagoIL0$375.63$300.50
Board Of Trustees Of The UniversityChicagoIL0$286.00$200.20
Memorial Medical CenterSpringfieldIL0$450.00$450.00
Decatur Memorial HospitalDecaturIL0$450.00$450.00
Midwest Medical CenterGalenaIL0$257.50$234.33
Community Hospital Of StauntonStauntonIL0$337.70$168.85
Washington County HospitalNashvilleIL0$258.00$206.40
Jacksonville Memorial HospitalJacksonvilleIL0$450.00$450.00

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.