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ED visit level 5

CPT 99285 · negotiated-rate distribution across hospitals in IL

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Hospitals
49
Min
$93.75
Median
$863.10
Max
$5,410.00
Range multiplier
57.7×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield34221$19.00$959.31$5,421.30285.3×
Aetna35170$25.40$671.07$7,888.00310.6×
UnitedHealthcare35145$167.02$961.00$8,398.0050.3×
Cigna3290$23.82$1,504.48$8,721.00366.1×
Humana2581$19.00$639.11$3,869.58203.7×
Multiplan2360$80.00$2,464.00$15,198190.0×
Medicare1055$167.02$639.11$912.655.5×
Molina2554$121.28$631.77$1,313.0510.8×
Medicare Advantage243$178.48$608.43$1,059.865.9×
ecoh133$305.24$2,783.00$8,602.0028.2×
Ambetter1623$159.07$1,035.36$1,035.366.5×
meridian1022$118.01$451.25$955.688.1×
healthlink919$910.80$1,597.05$4,111.434.5×
WellCare918$121.28$458.05$889.397.3×
advocate employee918$969.24$1,382.94$1,782.961.8×
hfn118$305.24$3,184.50$8,602.0028.2×
private healthcare systems917$1,328.40$2,268.00$3,264.002.5×
First Health615$100.00$4,124.39$10,744107.4×
prime health services314$159.87$518.72$3,627.7422.7×
Self-Pay (Cash)513$164.15$584.45$919.035.6×
smarthealth612$894.75$894.75$894.751.0×
Bright Health612$798.89$798.89$798.891.0×
paymentrate211$485.50$675.00$900.001.9×
deaconess onecare310$168.28$851.19$2,647.2815.7×
paymentratepercent29$50.00$79.40$91.001.8×
hstechnology99$1,227.09$1,227.09$1,227.091.0×
Oscar Health99$958.66$958.66$958.661.0×
amerivantage48$167.02$380.28$671.064.0×
medica exchange insure48$16.17$430.25$1,033.2563.9×
TRICARE48$639.11$639.11$639.111.0×
health partners open network48$296.09$544.29$890.543.0×
medica exchange inspire48$14.41$384.40$920.7963.9×
meridian health plan27$121.28$168.28$671.065.5×
alliance premier network17$348.91$2,745.36$5,963.6017.1×
Medicaid67$69.25$588.24$737.1010.6×
the alliance17$378.15$3,534.22$7,677.2020.3×
quartz aso17$279.48$2,746.93$5,967.0021.4×
quartz fully insured17$268.86$1,745.20$3,791.0014.1×
beloit healt system17$527.68$4,539.08$9,860.0018.7×
health alliance27$159.07$759.00$1,839.0311.6×
cox health systems insurance company [220]26$3,608.15$3,857.95$4,107.741.1×
mercycare16$2,347.80$4,897.80$10,2004.3×
wps ppo16$1,944.76$4,057.01$8,449.004.3×
hope trust36$546.63$1,038.80$1,821.463.3×
healthlink [225]26$2,692.24$3,608.15$4,191.011.6×
healthsmart16$2,934.75$6,122.25$12,7504.3×
sheboygan employers health network16$3,130.40$6,530.40$13,6004.3×
health payment systems16$2,934.75$6,122.25$12,7504.3×
allied benefits [498]26$3,219.58$3,330.60$4,124.391.3×
alliance coal35$232.23$679.39$1,054.534.5×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Vista Medical Center - EastWaukeganIL6$12,285$12,285$612.00$973.16$1,732.18
Valley West Community HospitalSandwichIL16$14,402$10,081$19.00$93.75$5,049.00
Kirby HospitalMonticelloIL13$2,869.00$1,721.40$118.01$910.80$2,811.62
Carle Eureka HospitalEurekaIL11$1,991.00$1,991.00$126.53$895.95$1,672.44
Carle Foundation HospitalUrbanaIL11$2,877.00$2,877.00$126.53$863.10$2,445.45
Hammond-Henry HospitalGeneseoIL5$50.00$675.00$971.00
Presence Saint Francis HospitalEvanstonIL9$4,023.00$1,327.59$376.20$671.07$1,035.36
Presence St. Marys HospitalKankakeeIL9$4,023.00$1,327.59$376.20$671.07$1,035.36
Presence Saint Joseph Hospital ElginElginIL9$4,023.00$1,327.59$376.20$671.07$1,035.36
Presence Saint Joseph Hosp-ChicagoChicagoIL9$4,023.00$1,327.59$376.20$671.07$1,035.36
Red Bud Regional HospitalRed BudIL19$2,247.88$584.45$164.15$668.75$2,079.00
Alexian Brothers Medical CenterElk Grove VillageIL19$285.89$639.11$1,118.44
Heartland Regional Medical CenterMarionIL25$4,836.98$919.03$121.28$639.11$4,353.28
St. Alexius Medical CenterHoffman EstatesIL18$285.89$639.11$1,131.22
Carle Bromenn Medical CenterNormalIL11$1,991.00$1,991.00$126.53$638.18$1,493.25
Marshall Browning HospitalDuquoinIL5$74.40$604.80$1,125.00
Gateway RegionalGranite CityIL1$8,592.58$5,155.55$5,410.00$5,410.00$5,410.00
Presence Saints Mary & Elizabeth MedChicagoIL7$3,434.00$1,820.02$281.26$523.07$1,313.05
Union County Hospital DistrictAnnaIL23$1,561.81$577.87$121.28$452.92$1,327.54
Trinity Rock IslandRock IslandIL15$1,885.48$1,508.39$21.67$386.61$3,527.66
Pekin Memorial HospitalPekinIL12$1,759.00$1,407.20$25.91$386.61$1,670.80
Proctor HospitalPeoriaIL12$1,759.00$1,407.20$25.91$386.61$1,670.80
Methodist Medical Ctr Of IllinoisPeoriaIL12$3,514.46$2,811.57$14.41$364.20$1,574.54
Alton Memorial HospitalAltonIL36$5,551.00$3,330.60$638.18$3,469.38$4,829.37
Memorial Hospital EastShilohIL35$5,551.00$3,330.60$596.49$3,469.38$4,829.37
Alexian Brothers Behavioral HealthHoffman EstatesIL4$203.85$285.89$588.24
Sparta Community HospitalSpartaIL15$4,517.75$4,517.75$375.68$2,723.65$4,291.86
Advocate Good Samaritan HospitalDowners GroveIL11$4,080.00$2,040.00$926.71$2,253.24$4,020.00
Advocate Christ HospitalOak LawnIL11$3,380.00$1,690.00$926.71$2,240.89$4,020.00
Advocate Southland HospitalChicagoIL11$3,640.00$1,820.00$926.71$2,194.28$4,020.00
Advocate Northside Health SystemChicagoIL11$3,900.00$1,950.00$926.71$2,141.49$4,020.00
Advocate Lutheran General HospitalPark RidgeIL11$2,860.00$1,430.00$926.71$2,095.85$4,020.00
South Suburban HospitalHazelcrestIL11$3,640.00$1,820.00$926.71$2,086.76$4,020.00
Good Shepherd HospitalBarringtonIL11$2,460.00$1,230.00$926.71$1,931.10$4,020.00
Swedishamerican HospitalRockfordIL26$17,000$2,720.00$121.28$1,855.57$15,198
Condell Medical CenterLibertyvilleIL11$3,010.00$1,505.00$926.71$1,565.20$2,869.00
Advocate Sherman HospitalElginIL11$2,800.00$1,400.00$926.71$1,397.20$2,520.00
Hoopeston Community Memorial HospitaHoopsetonIL10$2,457.00$2,457.00$515.97$1,179.36$2,137.59
Richland Memorial HospitalOlneyIL10$2,457.00$2,457.00$515.97$1,179.36$2,137.59
Board Of Trustees Of The UniversityChicagoIL0$3,290.00$2,303.00
Memorial Medical CenterSpringfieldIL0$2,463.00$2,463.00
Decatur Memorial HospitalDecaturIL0$2,463.00$2,463.00
Jacksonville Memorial HospitalJacksonvilleIL0$2,463.00$2,463.00
Midwest Medical CenterGalenaIL0$1,454.50$1,323.60
Jackson Park HospitalChicagoIL0$2,580.49$2,064.39
Jacksonville Memorial HospitalJacksonvilleIL0$3,721.00$3,721.00
Community Hospital Of StauntonStauntonIL0$1,125.70$562.85
Anderson HospitalMaryvilleIL0$2,942.20$1,471.10
Washington County HospitalNashvilleIL0$1,352.00$1,081.60

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.