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ED visit level 4

CPT 99284 · negotiated-rate distribution across hospitals in IL

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Hospitals
49
Min
$86.25
Median
$524.53
Max
$3,830.00
Range multiplier
44.4×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield34199$19.00$599.24$3,527.66185.7×
Aetna35157$25.40$466.07$3,606.20142.0×
UnitedHealthcare34135$115.24$700.91$3,426.0029.7×
Cigna3286$23.82$879.45$3,830.00160.8×
Humana2582$19.00$443.88$3,606.20189.8×
Molina2558$83.69$447.74$911.9710.9×
Multiplan2155$80.00$1,498.14$3,607.0045.1×
Medicare1049$115.24$443.88$488.274.2×
Medicare Advantage238$123.51$135.86$1,057.528.6×
Ambetter1623$109.75$719.09$719.096.6×
meridian1022$81.43$345.68$700.918.6×
healthlink919$745.20$1,146.03$2,782.713.7×
advocate employee918$547.66$930.81$1,162.422.1×
WellCare918$83.69$352.62$700.918.4×
private healthcare systems917$869.40$1,441.80$2,024.002.3×
prime health services314$110.12$378.34$2,455.3422.3×
Self-Pay (Cash)513$110.25$443.88$622.025.6×
Bright Health612$554.85$554.85$554.851.0×
smarthealth612$621.43$621.43$621.431.0×
paymentrate211$390.00$515.10$702.001.8×
deaconess onecare310$115.92$636.57$1,791.7415.5×
First Health410$100.00$2,946.40$3,607.0036.1×
paymentratepercent29$50.00$79.40$91.001.8×
Oscar Health99$665.82$665.82$665.821.0×
hstechnology99$852.26$852.26$852.261.0×
amerivantage48$115.24$263.74$466.084.0×
health partners open network48$199.47$374.94$618.513.1×
medica exchange insure48$16.17$300.31$714.7644.2×
medica exchange inspire48$14.41$268.31$636.9744.2×
TRICARE48$443.88$443.88$443.881.0×
ecoh18$206.60$773.27$1,200.235.8×
meridian health plan27$83.69$115.92$466.085.6×
health alliance27$109.75$621.00$1,449.3013.2×
Medicaid67$44.00$390.00$394.749.0×
hope trust36$408.81$791.23$1,265.073.1×
alliance coal35$159.97$508.09$732.414.6×
umwa35$115.92$338.73$443.883.8×
deidentifiedlower25$390.00$450.86$660.001.7×
deidentifiedhigher24$432.00$605.73$702.001.6×
mychoice wi medical adv14$123.51$123.51$426.303.5×
consociate [478]24$2,040.63$2,040.63$2,040.631.0×
meridian negotiated rate14$329.70$398.98$450.781.4×
health alliance negotiated rate14$2,637.60$3,191.80$3,606.201.4×
noncontracted24$185.47$363.72$710.213.8×
grosschargerate24$480.00$693.00$825.001.7×
iowa total care44$331.27$352.95$410.251.2×
actin care24$688.01$688.01$688.011.0×
healthlink ppo negotiated rate14$2,637.60$3,191.80$3,606.201.4×
allied benefits [498]24$2,183.70$2,221.35$2,259.001.0×
healthsmart negotiated rate14$3,132.15$3,790.26$4,282.361.4×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Valley West Community HospitalSandwichIL15$5,906.24$4,134.37$19.00$86.25$3,607.00
Hoopeston Community Memorial HospitaHoopsetonIL10$1,722.00$1,722.00$361.62$826.56$1,498.14
Richland Memorial HospitalOlneyIL10$1,722.00$1,722.00$361.62$826.56$1,498.14
Vista Medical Center - EastWaukeganIL6$6,500.00$6,500.00$390.00$769.90$961.00
Advocate Sherman HospitalElginIL11$1,390.00$695.00$547.66$749.17$3,263.00
Kirby HospitalMonticelloIL13$2,261.00$1,356.60$81.43$721.94$2,215.78
Carle Foundation HospitalUrbanaIL11$2,027.00$2,027.00$86.76$608.10$1,722.95
Carle Eureka HospitalEurekaIL11$1,337.00$1,337.00$86.76$601.65$1,123.08
Red Bud Regional HospitalRed BudIL19$1,763.12$458.42$110.25$524.53$1,454.57
Marshall Browning HospitalDuquoinIL5$74.40$484.80$825.00
Presence Saint Joseph Hospital ElginElginIL9$2,598.00$857.34$252.45$466.07$719.09
Presence Saint Francis HospitalEvanstonIL9$2,598.00$857.34$252.45$466.07$719.09
Presence St. Marys HospitalKankakeeIL9$2,598.00$857.34$252.45$466.07$719.09
Presence Saint Joseph Hosp-ChicagoChicagoIL9$2,598.00$857.34$252.45$466.07$719.09
Carle Bromenn Medical CenterNormalIL11$1,337.00$1,337.00$86.76$447.15$1,002.75
Heartland Regional Medical CenterMarionIL25$3,273.78$622.02$83.69$443.88$2,946.40
St. Alexius Medical CenterHoffman EstatesIL18$359.26$443.88$785.67
Alexian Brothers Medical CenterElk Grove VillageIL19$359.26$443.88$776.79
Hammond-Henry HospitalGeneseoIL5$50.00$432.00$780.00
Gateway RegionalGranite CityIL1$6,509.13$3,905.48$3,830.00$3,830.00$3,830.00
Presence Saints Mary & Elizabeth MedChicagoIL7$3,300.00$1,749.00$193.92$359.58$911.97
Alexian Brothers Behavioral HealthHoffman EstatesIL4$138.97$359.26$394.74
Union County Hospital DistrictAnnaIL23$1,168.02$432.17$83.69$338.73$992.82
Trinity Rock IslandRock IslandIL15$1,296.19$1,036.96$21.67$266.24$3,527.66
Proctor HospitalPeoriaIL12$1,208.35$966.68$25.91$266.24$1,160.42
Pekin Memorial HospitalPekinIL12$1,208.35$966.68$25.91$266.24$1,160.42
Sparta Community HospitalSpartaIL15$4,507.75$4,507.75$329.70$2,543.92$4,282.36
Methodist Medical Ctr Of IllinoisPeoriaIL12$2,431.17$1,944.94$14.41$249.46$1,093.57
Alton Memorial HospitalAltonIL23$3,765.00$2,259.00$1,011.00$2,187.47$3,275.55
Memorial Hospital EastShilohIL22$3,765.00$2,259.00$1,727.00$2,187.47$3,275.55
Swedishamerican HospitalRockfordIL26$2,372.00$379.52$83.69$206.60$2,120.57
Advocate Southland HospitalChicagoIL11$2,530.00$1,265.00$643.63$1,580.42$3,426.00
Advocate Good Samaritan HospitalDowners GroveIL11$2,510.00$1,255.00$643.63$1,574.22$3,426.00
South Suburban HospitalHazelcrestIL11$2,530.00$1,265.00$643.63$1,558.30$3,426.00
Advocate Christ HospitalOak LawnIL11$2,220.00$1,110.00$643.63$1,521.41$3,426.00
Advocate Northside Health SystemChicagoIL11$2,660.00$1,330.00$643.63$1,470.98$3,426.00
Advocate Lutheran General HospitalPark RidgeIL11$1,620.00$810.00$638.28$1,296.00$3,426.00
Good Shepherd HospitalBarringtonIL11$1,610.00$805.00$634.34$1,281.56$3,426.00
Condell Medical CenterLibertyvilleIL11$2,040.00$1,020.00$643.63$1,081.20$3,263.00
Memorial Medical CenterSpringfieldIL0$1,904.00$1,904.00
Decatur Memorial HospitalDecaturIL0$2,253.00$2,253.00
Board Of Trustees Of The UniversityChicagoIL0$2,027.00$1,418.90
Jacksonville Memorial HospitalJacksonvilleIL0$1,904.00$1,904.00
Jackson Park HospitalChicagoIL0$1,781.01$1,424.81
Jacksonville Memorial HospitalJacksonvilleIL0$1,904.00$1,904.00
Midwest Medical CenterGalenaIL0$886.10$806.35
Anderson HospitalMaryvilleIL0$2,083.10$1,041.55
Community Hospital Of StauntonStauntonIL0$837.30$418.65
Washington County HospitalNashvilleIL0$973.00$778.40

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.