Does Northwestern Medicine Valley West Hospital publish its standard charges and chargemaster?

Yes. Northwestern Medicine Valley West Hospital publishes a machine-readable file with 6,084 standard-charge rows — gross charges, cash prices, and payer-negotiated rates, earning a CMS price transparency compliance grade of A. Browse the negotiated rates by procedure and payer on this page.

How much does Northwestern Medicine Valley West Hospital charge for procedures?

Northwestern Medicine Valley West Hospital (Sandwich, IL) publishes a separately negotiated rate for each insurance payer, plus a discounted cash price and a gross (list) charge, for every procedure in its price transparency file. This page compares each procedure's negotiated median against the national median so you can see whether a price is above or below market.

▸ Hospital · IL · CCN 141340

Northwestern Medicine Valley West Hospital

Sandwich, IL, 60548-

21 bedsCritical Access Hospitals2

Compliance grade

100/100

Rates published

6,084

last crawl 2026-05-22

Procedures tracked

132

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All IL hospitalsJSON

The report bundles all published codes × every payer rate + compliance grade as a downloadable PDF + CSV with a data-version manifest.

Source MRF: https://www.nm.org/site_data/364244337_northwestern-medicine-valley-west-hospital_standardcharges.json · JSON

Procedures & rates

vs nat'l shows this hospital's negotiated median against the national median for that code (green = at/below market, amber = 1–1.5×, red = >1.5× the national median).

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	vs nat'l	Neg max
behavioral
Psychiatric diagnostic evaluation	CPT	90791	12	$490	$343	$28.31	$128.52	0.73×	$490
Psychiatric eval with medical services	CPT	90792	12	$361	$252.7	$68.59	$227.43	1.3×	$361
emergency
ED visit level 1	CPT	99281	11	$571	$399.7	$19	$104.25	0.74×	$571
ED visit level 2	CPT	99282	11	$1,082	$757.4	$19	$152.79	0.64×	$1,082
ED visit level 3	CPT	99283	16	$2,544.5	$1,781.15	$19	$85	0.21×	$1,924
ED visit level 4	CPT	99284	15	$5,906.24	$4,134.37	$19	$86.25	0.13×	$3,607
ED visit level 5	CPT	99285	16	$14,402	$10,081	$19	$93.75	0.09×	$5,049
Critical care, first hour	CPT	99291	11	$5,045	$3,531.5	$958.55	$3,053.49	2.8×	$5,045
imaging
CT head without contrast	CPT	70450	11	$3,535	$2,474.5	$671.65	$2,265.05	10.9×	$3,535
CT head with contrast	CPT	70460	11	$4,174	$2,921.8	$793.06	$2,674.49	11.4×	$4,174
CT head with and without contrast	CPT	70470	11	$5,367	$3,756.9	$1,019.73	$3,438.91	12.9×	$5,367
CT neck with contrast	CPT	70491	11	$4,644	$3,250.8	$882.36	$2,975.65	10.9×	$4,644
MRI brain without contrast	CPT	70551	11	$5,553	$3,887.1	$1,055.07	$3,558.09	8.8×	$5,553
MRI brain with contrast	CPT	70552	11	$6,130	$4,291	$1,164.7	$3,927.8	8.2×	$6,130
MRI brain with and without contrast	CPT	70553	11	$7,693	$5,385.1	$1,461.67	$4,929.29	8.4×	$7,693
Chest X-ray single view	CPT	71045	11	$768	$537.6	$145.92	$500.35	5.3×	$768
Chest X-ray 2 views	CPT	71046	11	$963	$674.1	$182.97	$627.39	6.4×	$963
Chest X-ray 3 views	CPT	71047	11	$1,286	$900.2	$244.34	$837.83	8.8×	$1,286
CT chest without contrast	CPT	71250	11	$3,730	$2,611	$708.7	$2,390	11.1×	$3,730
CT chest with contrast	CPT	71260	11	$4,534	$3,173.8	$861.46	$2,905.16	10.3×	$4,534
CT chest with and without contrast	CPT	71270	11	$4,880	$3,416	$927.2	$3,126.86	10.7×	$4,880
MRI chest without contrast	CPT	71550	11	$4,192	$2,934.4	$796.48	$2,686.03	6.2×	$4,192
MRI chest with contrast	CPT	71551	11	$5,311	$3,717.7	$1,009.09	$3,403.03	4.2×	$5,311
MRI chest with and without contrast	CPT	71552	11	$6,246	$4,372.2	$1,186.74	$4,002.13	6.7×	$6,246
Lumbosacral spine X-ray	CPT	72100	11	$931	$651.7	$176.89	$606.55	5.9×	$931
CT cervical spine without contrast	CPT	72125	11	$4,526	$3,168.2	$859.94	$2,900.04	14.4×	$4,526
CT thoracic spine without contrast	CPT	72128	11	$4,017	$2,811.9	$763.23	$2,573.9	12.9×	$4,017
CT lumbar spine without contrast	CPT	72131	11	$4,405	$3,083.5	$836.95	$2,822.51	13.9×	$4,405
MRI cervical spine without contrast	CPT	72141	11	$5,959	$4,171.3	$1,132.21	$3,818.23	9.6×	$5,959
MRI thoracic spine without contrast	CPT	72146	11	$5,442	$3,809.4	$1,033.98	$3,486.96	9.4×	$5,442
MRI lumbar spine without contrast	CPT	72148	11	$5,482	$3,837.4	$1,041.58	$3,512.59	9.3×	$5,482
MRI lumbar spine with and without contrast	CPT	72149	11	$5,961	$4,172.7	$1,132.59	$3,819.51	8.4×	$5,961
MRI cervical spine with and without contrast	CPT	72156	11	$7,347	$5,142.9	$1,395.93	$4,707.59	8.7×	$7,347
MRI lumbar spine with contrast	CPT	72158	11	$6,724	$4,706.8	$1,277.56	$4,308.41	7.9×	$6,724
CT pelvis without contrast	CPT	72192	11	$3,081	$2,156.7	$585.39	$1,974.15	9.9×	$3,081
CT pelvis with contrast	CPT	72193	11	$4,154	$2,907.8	$789.26	$2,661.68	9.5×	$4,154
Shoulder X-ray	CPT	73030	11	$890	$623	$169.1	$579.84	6.2×	$890
Humerus X-ray	CPT	73060	11	$885	$619.5	$168.15	$576.58	6.4×	$885
Hand X-ray 3 views	CPT	73130	11	$782	$547.4	$148.58	$509.47	5.5×	$782
MRI upper extremity joint without contrast	CPT	73221	11	$5,131	$3,591.7	$974.89	$3,287.69	7.9×	$5,131
MRI upper extremity joint with and without contrast	CPT	73223	11	$6,177	$4,323.9	$1,173.63	$3,957.92	6.5×	$6,177
Knee X-ray 1-2 views	CPT	73560	11	$795	$556.5	$151.05	$517.94	5.6×	$795
Ankle X-ray 3 views	CPT	73610	11	$774	$541.8	$147.06	$504.26	5.5×	$774
MRI lower extremity joint without contrast	CPT	73721	11	$5,479	$3,835.3	$1,041.01	$3,510.67	7.5×	$5,479
MRI lower extremity joint with and without contrast	CPT	73723	11	$6,327	$4,428.9	$1,202.13	$4,054.03	6.4×	$6,327
CT abdomen without contrast	CPT	74150	11	$3,680	$2,576	$699.2	$2,357.96	12.5×	$3,680
CT abdomen with contrast	CPT	74160	11	$4,573	$3,201.1	$868.87	$2,930.15	10.2×	$4,573
CT abdomen with and without contrast	CPT	74170	11	$5,227	$3,658.9	$993.13	$3,349.2	10.0×	$5,227
CT abdomen and pelvis without contrast	CPT	74176	11	$6,860	$4,802	$1,303.4	$4,395.55	12.1×	$6,860
CT abdomen and pelvis with contrast	CPT	74177	11	$8,642	$6,049.4	$1,641.98	$5,537.36	10.1×	$8,642
CT abdomen and pelvis with and without contrast	CPT	74178	11	$10,151	$7,105.7	$1,928.69	$6,504.26	11.3×	$10,151
MRI abdomen without contrast	CPT	74181	11	$5,286	$3,700.2	$1,004.34	$3,387.01	8.7×	$5,286
MRI abdomen with and without contrast	CPT	74183	11	$6,265	$4,385.5	$1,190.35	$4,014.3	7.1×	$6,265
Abdominal ultrasound complete	CPT	76700	11	$2,532	$1,772.4	$481.08	$1,649.6	11.1×	$2,532
Abdominal ultrasound limited	CPT	76705	11	$2,292	$1,604.4	$435.48	$1,493.24	10.2×	$2,292
Retroperitoneal ultrasound complete	CPT	76770	11	$2,106	$1,474.2	$400.14	$1,372.06	9.6×	$2,106
Obstetric ultrasound first trimester	CPT	76801	11	$1,344	$940.8	$255.36	$875.62	6.2×	$1,344
Obstetric ultrasound after first trimester	CPT	76805	11	$1,723	$1,206.1	$327.37	$1,122.53	7.4×	$1,723
Obstetric ultrasound with fetal anatomy	CPT	76811	11	$1,944	$1,360.8	$369.36	$1,266.52	5.4×	$1,944
Transvaginal ultrasound	CPT	76830	11	$1,542	$1,079.4	$292.98	$1,004.61	6.8×	$1,542
Pelvic ultrasound complete	CPT	76856	11	$2,157	$1,509.9	$409.83	$1,405.29	9.8×	$2,157
Scrotal ultrasound	CPT	76870	11	$1,967	$1,376.9	$373.73	$1,281.5	9.8×	$1,967
Diagnostic mammography unilateral	CPT	77065	11	$664	$464.8	$126.16	$432.6	2.9×	$664
Diagnostic mammography bilateral	CPT	77066	11	$734	$513.8	$139.46	$478.2	2.5×	$734
Screening mammography bilateral	CPT	77067	11	$748	$523.6	$142.12	$487.32	3.1×	$748
EKG tracing only	CPT	93005	12	$309	$216.3	$58.71	$194.67	1.7×	$309
Transthoracic echocardiogram complete	CPT	93306	12	$4,215	$2,950.5	$800.85	$2,655.45	4.4×	$4,215
Transthoracic echocardiogram	CPT	93307	12	$2,853	$1,997.1	$542.07	$1,797.39	7.3×	$2,853
Stress echocardiogram	CPT	93350	12	$4,021	$2,814.7	$763.99	$2,533.23	5.0×	$4,021
inpatient
Intracranial hemorrhage/CVA w CC	MS-DRG	065	9	$40,829	$28,580	$25.4	$76.7	0.01×	$21,621
Respiratory infections & inflammations w MCC	MS-DRG	177	9	$33,501	$23,451	$25.4	$87.5	0.01×	$43,062
COPD w MCC	MS-DRG	190	9	$25,615	$17,930	$25.4	$87.5	0.01×	$30,524
COPD w CC	MS-DRG	191	9	$55,667	$38,967	$25.4	$87.5	0.01×	$23,230
COPD w/o CC/MCC	MS-DRG	192	9	$16,212	$11,349	$25.4	$87.5	0.01×	$17,691
Simple pneumonia & pleurisy w CC	MS-DRG	194	9	$24,888	$17,421	$25.4	$87.5	0.01×	$22,207
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	9	$12,831	$8,981.52	$25.4	$87.5	0.01×	$17,319
AMI discharged alive w CC	MS-DRG	281	9	$34,320	$24,024	$25.4	$76.7	0.01×	$19,670
Heart failure & shock w MCC	MS-DRG	291	9	$25,044	$17,531	$25.4	$87.5	0.01×	$35,376
Heart failure & shock w CC	MS-DRG	292	9	$26,935	$18,855	$25.4	$76.7	0.01×	$18,169
Heart failure & shock w/o CC/MCC	MS-DRG	293	9	$12,190	$8,533	$25.4	$87.5	0.01×	$15,597
Cardiac arrhythmia w MCC	MS-DRG	308	9	$22,555	$15,789	$25.4	$87.5	0.01×	$33,177
Cardiac arrhythmia w CC	MS-DRG	309	9	$16,829	$11,780	$25.4	$76.7	0.01×	$15,745
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	9	$7,127.5	$4,989.25	$25.4	$87.5	0.01×	$15,599
GI hemorrhage w CC	MS-DRG	378	9	$33,692	$23,585	$25.4	$76.7	0.01×	$20,988
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	9	$23,087	$16,161	$25.4	$87.5	0.01×	$21,483
Kidney/UTI w MCC	MS-DRG	689	9	$21,653	$15,157	$25.4	$87.5	0.01×	$31,973
Kidney/UTI w/o MCC	MS-DRG	690	9	$19,010	$13,307	$25.4	$87.5	0.01×	$22,307
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	9	$31,497	$22,048	$25.4	$87.5	0.00×	$53,528
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	9	$31,606	$22,124	$25.4	$87.5	0.01×	$28,198
Initial hospital care, high complexity	CPT	99223	12	$200	$140	$38	$130.3	0.58×	$200
Hospital discharge, <30 min	CPT	99238	12	$125	$87.5	$23.75	$81.44	0.95×	$125
Hospital discharge, >30 min	CPT	99239	12	$125	$87.5	$23.75	$81.44	0.67×	$125
lab
Basic metabolic panel (BMP)	CPT	80048	11	$314	$219.8	$59.66	$201.2	6.2×	$314
Electrolyte panel	CPT	80051	11	$107	$74.9	$19.95	$67.91	2.9×	$107
Comprehensive metabolic panel	CPT	80053	11	$438	$306.6	$83.22	$280.65	6.3×	$438
Lipid panel	CPT	80061	11	$263	$184.1	$49.97	$168.52	4.4×	$263
Renal function panel	CPT	80069	11	$212	$148.4	$37.24	$130.08	4.8×	$212
Hepatic function panel	CPT	80076	11	$237	$165.9	$32.68	$129.33	4.9×	$237
Urinalysis non-automated	CPT	81002	11	$31	$21.7	$5.89	$19.87	2.9×	$31
Urinalysis automated	CPT	81003	11	$86	$60.2	$1.9	$29.22	2.1×	$86
Glucose quantitative	CPT	82947	11	$112	$78.4	$2.09	$36.99	2.1×	$112
Hemoglobin A1c	CPT	83036	11	$167	$116.9	$31.73	$107.01	4.0×	$167
Thyroid stimulating hormone (TSH)	CPT	84443	11	$232	$162.4	$44.08	$148.66	3.1×	$232
Complete blood count with automated differential	CPT	85025	11	$181	$126.7	$21.28	$90.55	3.4×	$181
Complete blood count without differential	CPT	85027	11	$131	$91.7	$17.67	$66.3	3.1×	$131
Urine culture bacterial	CPT	87086	11	$186	$130.2	$24.89	$102.53	4.4×	$186
Urine culture identification	CPT	87088	11	$166	$116.2	$18.62	$79.24	3.6×	$166
Tissue exam by pathologist level IV	CPT	88305	16	$12,112	$8,478.68	$19	$215.02	2.1×	$589
maternity
Fetal non-stress test	CPT	59025	12	$940	$658	$178.6	$592.2	3.2×	$940
Vaginal delivery only	CPT	59409	12	$6,714	$4,699.8	$1,275.66	$4,374.17	2.0×	$6,714
office
Office visit, new patient, 15-29 min	CPT	99202	12	$308	$215.6	$58.52	$194.04	2.2×	$308
Office visit, new patient, 30-44 minutes	CPT	99203	12	$543	$380.1	$103.17	$342.09	2.8×	$543
Office visit, new patient, 45-59 min	CPT	99204	12	$626	$438.2	$118.94	$394.38	2.3×	$626
Office visit, new patient, 60-74 min	CPT	99205	12	$915	$640.5	$173.85	$576.45	2.6×	$915
Office visit, established patient, 5 min	CPT	99211	12	$227	$158.9	$43.13	$143.01	2.2×	$227
Office visit, established patient, 10-19 min	CPT	99212	12	$280	$196	$28.69	$122.09	1.5×	$280
Office visit, established patient, 20-29 minutes	CPT	99213	12	$416	$291.2	$41.04	$174.64	1.5×	$416
Office visit, established patient, 30-39 minutes	CPT	99214	12	$569	$398.3	$44.65	$195.01	1.3×	$569
Office visit, established patient, 40-54 min	CPT	99215	12	$870	$609	$165.3	$548.1	2.9×	$870
preventive
Upper GI endoscopy diagnostic	CPT	43235	16	$6,931.74	$4,852.22	$19	$295.85	0.32×	$3,919
Upper GI endoscopy with biopsy	CPT	43239	16	$14,764	$10,335	$19	$306.4	0.32×	$4,597
Sigmoidoscopy diagnostic	CPT	45330	16	$12,603	$8,821.94	$19	$141	0.17×	$3,329
Sigmoidoscopy with biopsy	CPT	45331	16	$5,927.51	$4,149.26	$19	$176.7	0.20×	$1,676
Colonoscopy diagnostic	CPT	45378	16	$6,132.24	$4,292.57	$19	$270.7	0.31×	$3,607
Colonoscopy with biopsy	CPT	45380	16	$17,517	$12,262	$19	$270.7	0.22×	$5,849
Colonoscopy with polyp removal	CPT	45385	16	$11,603	$8,121.99	$19	$342.1	0.28×	$5,849
surgery
Shoulder arthroscopy with decompression	CPT	29826	16	$94,877	$66,414	$6.9	$55.9	0.17×	$100
Shoulder arthroscopy with rotator cuff repair	CPT	29827	16	$94,877	$66,414	$6.9	$55.9	0.02×	$100
Laparoscopic cholecystectomy	CPT	47562	12	$22,604	$15,823	$4,294.76	$14,727	8.3×	$22,604
Lap cholecystectomy with cholangiography	CPT	47563	12	$20,232	$14,162	$3,844.08	$13,181	7.0×	$20,232
Intravitreal injection	CPT	67028	12	$4,384	$3,068.8	$832.96	$2,856.18	8.3×	$4,384
PCI with drug-eluting stent	CPT	92928	12	$31,809	$22,266	$6,043.71	$18,354	1.8×	$31,809

Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.

Payer mix (top 16)

Payer	Codes covered	Median rate
Aetna	132	$269.35
Blue Cross Blue Shield	132	$481.21
choicecare [177]	132	$374.75
First Health	132	$556
health's finest network [126]	132	$318.58
healthlink [125]	132	$417
Multiplan	132	$570
the alliance [1703]	132	$302.19
UnitedHealthcare	128	$380.5
Humana	112	$149.82
global excel [1712]	112	$149.82
Cigna	40	$188.45
countycare il cook co [1607]	13	$141
meridian health plan hmo [1604]	13	$141
family health network hmo [1610]	13	$141
Medicaid	13	$141

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