▸ Hospital · IL · CCN 140084
Vista Medical Center East
1324 NORTH SHERIDAN ROAD, WAUKEGAN, IL, 60085-
166 bedsAcute Care Hospitals4
Compliance grade
A
97/100
Procedures tracked
127
of 209 target codes
Payers
6
with negotiated rates
Rates published
10,270
last crawl 2026-05-23
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 6 | $44,161 | $44,161 | $5,384.87 | $12,836 | $17,816 |
| Psychiatric diagnostic evaluation | CPT | 90791 | 6 | $663.75 | $663.75 | $39.83 | $109.8 | $228.47 |
| Psychotherapy 45 minutes | CPT | 90834 | 5 | $500.25 | $500.25 | $30.02 | $70.54 | $228.47 |
| Psychotherapy 60 minutes | CPT | 90837 | 5 | $559.17 | $559.17 | $33.55 | $78.84 | $228.47 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 6 | $765.96 | $765.96 | $45.96 | $122.1 | $961 |
| ED visit level 2 | CPT | 99282 | 6 | $1,021.28 | $1,021.28 | $61.28 | $250.88 | $961 |
| ED visit level 3 | CPT | 99283 | 6 | $3,495 | $3,495 | $209.7 | $465.24 | $961 |
| ED visit level 4 | CPT | 99284 | 6 | $6,500 | $6,500 | $390 | $769.9 | $961 |
| ED visit level 5 | CPT | 99285 | 6 | $12,285 | $12,285 | $612 | $973.16 | $1,732.18 |
| Critical care, first hour | CPT | 99291 | 6 | $6,610.21 | $6,610.21 | $396.61 | $946.52 | $2,439.17 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 6 | $5,426.98 | $5,426.98 | $94.5 | $244.79 | $649 |
| CT head with contrast | CPT | 70460 | 6 | $7,369.24 | $7,369.24 | $135.48 | $355.58 | $788.51 |
| CT head with and without contrast | CPT | 70470 | 6 | $8,766.75 | $8,766.75 | $162.12 | $397.51 | $938.04 |
| CT neck with contrast | CPT | 70491 | 6 | $7,369.24 | $7,369.24 | $170.33 | $355.58 | $788.51 |
| MRI brain without contrast | CPT | 70551 | 6 | $6,027.87 | $6,027.87 | $181.25 | $354.1 | $1,345 |
| MRI brain with contrast | CPT | 70552 | 6 | $6,406.34 | $6,406.34 | $266.64 | $472.57 | $1,345 |
| MRI brain with and without contrast | CPT | 70553 | 6 | $8,738.12 | $8,738.12 | $301.71 | $539.44 | $1,345 |
| Chest X-ray single view | CPT | 71045 | 6 | $1,070.51 | $1,070.51 | $23.91 | $94.68 | $245 |
| Chest X-ray 2 views | CPT | 71046 | 6 | $1,070.51 | $1,070.51 | $32.12 | $94.68 | $245 |
| Chest X-ray 3 views | CPT | 71047 | 6 | $1,070.51 | $1,070.51 | $40.31 | $94.68 | $245 |
| CT chest without contrast | CPT | 71250 | 6 | $5,426.98 | $5,426.98 | $115.47 | $244.79 | $649 |
| CT chest with contrast | CPT | 71260 | 6 | $7,369.24 | $7,369.24 | $159.86 | $355.58 | $788.51 |
| CT chest with and without contrast | CPT | 71270 | 6 | $8,766.75 | $8,766.75 | $189.45 | $397.51 | $938.04 |
| MRI chest without contrast | CPT | 71550 | 6 | $6,027.87 | $6,027.87 | $244.04 | $371.99 | $1,345 |
| MRI chest with contrast | CPT | 71551 | 6 | $6,406.34 | $6,406.34 | $384.38 | $722.13 | $1,345 |
| MRI chest with and without contrast | CPT | 71552 | 6 | $8,738.12 | $8,738.12 | $390.55 | $539.44 | $1,345 |
| Lumbosacral spine X-ray | CPT | 72100 | 6 | $1,070.51 | $1,070.51 | $40.31 | $105.11 | $245 |
| CT cervical spine without contrast | CPT | 72125 | 6 | $5,426.98 | $5,426.98 | $115.47 | $244.79 | $649 |
| CT thoracic spine without contrast | CPT | 72128 | 6 | $5,426.98 | $5,426.98 | $115.47 | $244.79 | $649 |
| CT lumbar spine without contrast | CPT | 72131 | 6 | $5,426.98 | $5,426.98 | $115.47 | $244.79 | $649 |
| MRI cervical spine without contrast | CPT | 72141 | 6 | $6,027.87 | $6,027.87 | $173.51 | $354.1 | $1,345 |
| MRI thoracic spine without contrast | CPT | 72146 | 6 | $6,027.87 | $6,027.87 | $173.06 | $354.1 | $1,345 |
| MRI lumbar spine without contrast | CPT | 72148 | 6 | $6,027.87 | $6,027.87 | $173.97 | $354.1 | $1,345 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 6 | $6,406.34 | $6,406.34 | $266.64 | $472.57 | $1,345 |
| MRI cervical spine with and without contrast | CPT | 72156 | 6 | $8,738.12 | $8,738.12 | $303.53 | $539.44 | $1,345 |
| MRI lumbar spine with contrast | CPT | 72158 | 6 | $8,738.12 | $8,738.12 | $302.61 | $539.44 | $1,345 |
| CT pelvis without contrast | CPT | 72192 | 6 | $5,426.98 | $5,426.98 | $115.47 | $244.79 | $649 |
| CT pelvis with contrast | CPT | 72193 | 6 | $7,369.24 | $7,369.24 | $189.45 | $355.58 | $788.51 |
| Shoulder X-ray | CPT | 73030 | 6 | $2,137.25 | $2,137.25 | $35.76 | $115.24 | $245 |
| Humerus X-ray | CPT | 73060 | 6 | $2,137.25 | $2,137.25 | $33.48 | $115.24 | $245 |
| Hand X-ray 3 views | CPT | 73130 | 6 | $2,137.25 | $2,137.25 | $39.86 | $115.24 | $245 |
| MRI upper extremity joint without contrast | CPT | 73221 | 6 | $12,055 | $12,055 | $198.56 | $503.33 | $1,345 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 6 | $17,479 | $17,479 | $390.55 | $744.79 | $1,870.2 |
| Knee X-ray 1-2 views | CPT | 73560 | 6 | $2,137.25 | $2,137.25 | $36.21 | $115.24 | $245 |
| Ankle X-ray 3 views | CPT | 73610 | 6 | $2,137.25 | $2,137.25 | $38.94 | $113.59 | $245 |
| MRI lower extremity joint without contrast | CPT | 73721 | 6 | $12,055 | $12,055 | $198.11 | $503.33 | $1,345 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 6 | $8,738.12 | $8,738.12 | $141.84 | $464.69 | $1,345 |
| CT abdomen without contrast | CPT | 74150 | 6 | $5,426.98 | $5,426.98 | $115.44 | $244.79 | $649 |
| CT abdomen with contrast | CPT | 74160 | 6 | $7,369.24 | $7,369.24 | $189.45 | $355.58 | $788.51 |
| CT abdomen with and without contrast | CPT | 74170 | 6 | $8,766.75 | $8,766.75 | $189.45 | $402.36 | $938.04 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 6 | $10,853 | $10,853 | $145.73 | $497.77 | $1,161.25 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 6 | $14,738 | $14,738 | $309.66 | $601.8 | $1,577.02 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 6 | $17,532 | $17,532 | $349.98 | $601.8 | $1,875.96 |
| MRI abdomen without contrast | CPT | 74181 | 6 | $6,027.87 | $6,027.87 | $182.16 | $354.1 | $1,345 |
| MRI abdomen with and without contrast | CPT | 74183 | 6 | $8,738.12 | $8,738.12 | $335.4 | $539.44 | $1,345 |
| Abdominal ultrasound complete | CPT | 76700 | 6 | $1,900.39 | $1,900.39 | $107.94 | $139.72 | $764 |
| Abdominal ultrasound limited | CPT | 76705 | 6 | $1,900.39 | $1,900.39 | $81.75 | $139.72 | $764 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 6 | $1,900.39 | $1,900.39 | $100.88 | $139.72 | $764 |
| Obstetric ultrasound first trimester | CPT | 76801 | 6 | $1,900.39 | $1,900.39 | $97.23 | $139.72 | $764 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 6 | $1,900.39 | $1,900.39 | $110.78 | $143.01 | $764 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 6 | $3,057.65 | $3,057.65 | $121.38 | $265.63 | $764 |
| Transvaginal ultrasound | CPT | 76830 | 6 | $1,900.39 | $1,900.39 | $114.02 | $141.65 | $764 |
| Pelvic ultrasound complete | CPT | 76856 | 6 | $1,900.39 | $1,900.39 | $100.41 | $139.72 | $764 |
| Scrotal ultrasound | CPT | 76870 | 6 | $1,900.39 | $1,900.39 | $96.32 | $139.72 | $764 |
| Diagnostic mammography unilateral | CPT | 77065 | 5 | $892.68 | $892.68 | $48.48 | $100.76 | $357.44 |
| Diagnostic mammography bilateral | CPT | 77066 | 5 | $1,004.79 | $1,004.79 | $58.53 | $106.76 | $432.06 |
| Screening mammography bilateral | CPT | 77067 | 5 | $961.7 | $961.7 | $45.42 | $104.45 | $385.07 |
| EKG tracing only | CPT | 93005 | 6 | $489.7 | $489.7 | $27.43 | $59.04 | $203 |
| Transthoracic echocardiogram complete | CPT | 93306 | 6 | $7,171.33 | $7,171.33 | $266 | $707.77 | $1,011.16 |
| Transthoracic echocardiogram | CPT | 93307 | 6 | $3,801.93 | $3,801.93 | $210.43 | $375.26 | $536.07 |
| Stress echocardiogram | CPT | 93350 | 6 | $3,232.88 | $3,232.88 | $177.78 | $345.92 | $825.06 |
| inpatient | ||||||||
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 6 | $107,883 | $107,883 | $6,685.38 | $15,882 | $21,473 |
| COPD w MCC | MS-DRG | 190 | 6 | $64,520 | $64,520 | $4,342.89 | $10,537 | $14,887 |
| COPD w CC | MS-DRG | 191 | 6 | $73,765 | $73,765 | $3,345.84 | $8,337.64 | $12,083 |
| COPD w/o CC/MCC | MS-DRG | 192 | 6 | $50,696 | $50,696 | $2,529.28 | $6,536.09 | $9,787.56 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 6 | $62,046 | $62,046 | $3,240.22 | $8,104.62 | $11,786 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 6 | $36,271 | $36,271 | $2,465.44 | $6,395.23 | $9,608.06 |
| AMI discharged alive w MCC | MS-DRG | 280 | 6 | $114,349 | $114,349 | $6,252.27 | $14,853 | $20,255 |
| AMI discharged alive w CC | MS-DRG | 281 | 6 | $89,084 | $89,084 | $3,598.06 | $8,894.1 | $12,793 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 6 | $40,945 | $40,945 | $2,829.97 | $7,199.5 | $10,633 |
| Heart failure & shock w MCC | MS-DRG | 291 | 6 | $87,550 | $87,550 | $5,059.75 | $12,119 | $16,902 |
| Heart failure & shock w CC | MS-DRG | 292 | 6 | $75,827 | $75,827 | $3,375.4 | $8,402.85 | $12,166 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 6 | $62,719 | $62,719 | $2,212.83 | $5,837.9 | $8,897.81 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 6 | $86,449 | $86,449 | $4,737.77 | $11,409 | $15,997 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 6 | $64,251 | $64,251 | $2,934.8 | $7,430.77 | $10,928 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 6 | $47,664 | $47,664 | $2,179.33 | $5,764 | $8,803.63 |
| GI hemorrhage w CC | MS-DRG | 378 | 6 | $96,096 | $96,096 | $3,877.08 | $9,509.69 | $13,577 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 6 | $56,641 | $56,641 | $2,495.39 | $6,461.31 | $9,692.27 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 6 | $56,998 | $56,998 | $3,095.99 | $7,786.39 | $11,381 |
| Kidney/UTI w MCC | MS-DRG | 689 | 6 | $72,150 | $72,150 | $4,628.22 | $11,167 | $15,689 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 6 | $61,202 | $61,202 | $3,179.93 | $7,971.59 | $11,617 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 6 | $129,123 | $129,123 | $7,813.27 | $18,561 | $24,644 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 6 | $59,258 | $59,258 | $4,058.75 | $9,910.51 | $14,088 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 6 | $275.72 | $275.72 | $8.46 | $15.08 | $38.88 |
| General health panel | CPT | 80050 | 4 | $1,140.61 | $1,140.61 | $47.21 | $95.25 | $160.83 |
| Electrolyte panel | CPT | 80051 | 6 | $226.23 | $226.23 | $7.01 | $12.43 | $31.9 |
| Comprehensive metabolic panel | CPT | 80053 | 6 | $344.06 | $344.06 | $10.56 | $18.77 | $48.51 |
| Lipid panel | CPT | 80061 | 6 | $226.23 | $226.23 | $13.39 | $18.22 | $31.9 |
| Renal function panel | CPT | 80069 | 6 | $280.44 | $280.44 | $8.68 | $15.4 | $39.54 |
| Hepatic function panel | CPT | 80076 | 6 | $265.12 | $265.12 | $8.17 | $14.53 | $37.38 |
| Urinalysis non-automated | CPT | 81002 | 5 | $12.96 | $12.96 | $1.39 | $3.48 | $5.57 |
| Urinalysis automated | CPT | 81003 | 6 | $73.05 | $73.05 | $2.25 | $4 | $10.3 |
| Glucose quantitative | CPT | 82947 | 5 | $126.07 | $126.07 | $3.93 | $7.56 | $17.78 |
| Hemoglobin A1c | CPT | 83036 | 6 | $313.43 | $313.43 | $9.71 | $17.22 | $44.19 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 6 | $544.38 | $544.38 | $16.8 | $29.85 | $76.76 |
| Complete blood count with automated differential | CPT | 85025 | 6 | $252.15 | $252.15 | $7.77 | $13.82 | $35.55 |
| Complete blood count without differential | CPT | 85027 | 6 | $209.74 | $209.74 | $6.47 | $11.5 | $29.57 |
| Urine culture bacterial | CPT | 87086 | 6 | $262.76 | $262.76 | $8.07 | $14.38 | $37.05 |
| Urine culture identification | CPT | 87088 | 6 | $263.94 | $263.94 | $8.09 | $14.43 | $37.22 |
| Tissue exam by pathologist level IV | CPT | 88305 | 6 | $605.23 | $605.23 | $12.66 | $50.98 | $85.34 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 6 | $1,104.41 | $1,104.41 | $66.26 | $168.2 | $274 |
| surgery | ||||||||
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 6 | $292,937 | $292,937 | $17,800 | $42,286 | $52,724 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 6 | $194,180 | $194,180 | $9,348.26 | $22,208 | $28,960 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 6 | $155,514 | $155,514 | $6,589.22 | $15,653 | $21,202 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 6 | $118,342 | $118,342 | $6,442.22 | $15,304 | $20,789 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 6 | $116,885 | $116,885 | $5,175.22 | $12,374 | $17,227 |
| Major joint replacement w MCC | MS-DRG | 469 | 6 | $255,955 | $255,955 | $13,122 | $31,174 | $39,571 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 6 | $146,981 | $146,981 | $7,415.63 | $17,616 | $23,526 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 6 | $142,052 | $142,052 | $11,621 | $27,608 | $35,351 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 6 | $159,633 | $159,633 | $8,177.01 | $19,425 | $25,667 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 6 | $127,515 | $127,515 | $6,259.76 | $14,871 | $20,276 |
| PCI single major coronary artery | CPT | 92920 | 6 | $46,925 | $46,925 | $2,815.52 | $5,936.53 | $7,866 |
| PCI with drug-eluting stent | CPT | 92928 | 6 | $70,016 | $70,016 | $4,200.99 | $10,263 | $16,874 |
| PCI bypass graft | CPT | 92937 | 6 | $65,199 | $65,199 | $3,911.92 | $8,814.64 | $17,151 |
| Left heart catheterization | CPT | 93452 | 6 | $31,978 | $31,978 | $1,918.66 | $3,965.23 | $6,451 |
| Coronary angiography with cath | CPT | 93455 | 6 | $21,844 | $21,844 | $1,310.65 | $3,077.72 | $6,451 |
| Coronary angiography with bypass cath | CPT | 93458 | 6 | $35,721 | $35,721 | $2,143.25 | $4,386.79 | $6,451 |
Payer mix (top 6)
| Payer | Codes covered | Median rate |
|---|---|---|
| Blue Cross Blue Shield | 127 | $327.17 |
| Cigna | 127 | $198.56 |
| Medicaid | 126 | $180.8 |
| Aetna | 125 | $346.53 |
| UnitedHealthcare | 125 | $961 |
| Medicare | 123 | $244.04 |