Initial hospital care, low complexity in Illinois

What Illinois hospitals charge for initial hospital care, low complexity (CPT 99221). Rates sourced from federally-mandated machine-readable files.

Hospitals
36
Rate rows
717
Neg. median
$78.65
Min
$9.3
Max
$501.54
Cash median
$168

Across 36 Illinois hospitals, the negotiated rate for Initial hospital care, low complexity ranges from $9.3 to $501.54, with a median of $78.65. The interquartile range is $73.72 to $177.24. Cash-pay patients typically pay $168; gross charges median $227.

By payer in Illinois

Top 30 payers for Initial hospital care, low complexity in Illinois.

PayerHospitalsRatesMedian rate
Blue Cross Blue Shield2896$174.9
Aetna1693$76.86
Cigna1627$158.55
Humana1537$76.87
UnitedHealthcare1449$78.47
Molina1138$60.08
meridian920$60.93
Multiplan918$132.6
WellCare715$76.87
healthlink617$142.8
Medicaid45$273.48
health partners open network44$167.73
amerivantage44$78.47
prime health services36$118.95
community partners health plan (cphp)34$78.83
Self-Pay (Cash)33$76.3
grosschargerate22$292.5
alliance coal23$108.07
care improvement plus22$78.23
county care22$273.48
deaconess onecare24$81.44
deidentifiedhigher22$249.25
deidentifiedlower22$249.25
family health plan22$273.48
harmony health plan22$273.48
health alliance23$194
illinicare22$273.48
Medicare27$76.86
meridian health plan26$76.7
noncontracted23$125.3

Hospital comparison — Initial hospital care, low complexity in Illinois

Sorted by lowest negotiated median rate. Up to 100 hospitals.

HospitalCityNegotiated medianCash rateGross charge
Carle Bromenn Medical CenterNormal$60.45$93$93
Hoopeston Community Memorial HospitaHoopseton$64.05$201.5$201.5
Richland Memorial HospitalOlney$64.05$201.5$201.5
Carle Eureka HospitalEureka$64.24$195$195
Swedishamerican HospitalRockford$76.86$48.93$305.8
Carle Foundation HospitalUrbana$76.87$168$168
Union County Hospital DistrictAnna$78.31$76.3$218
Heartland Regional Medical CenterMarion$78.31$76.3$218
Trinity Rock IslandRock Island$85.06$181.6$227
Kirby HospitalMonticello$88.55$232.8$388
Red Bud Regional HospitalRed Bud$130.8$76.3$218
Methodist Medical Ctr Of IllinoisPeoria$135.5$181.6$227
Proctor HospitalPeoria$135.5$181.6$227
Pekin Memorial HospitalPekin$135.5$181.6$227
Presence Saint Joseph Hosp-ChicagoChicago$174.9
Presence Saint Francis HospitalEvanston$174.9
Presence St. Marys HospitalKankakee$174.9
Presence Saint Joseph Hospital ElginElgin$174.9
Advocate Sherman HospitalElgin$222.74
Marshall Browning HospitalDuquoin$224
Presence Saints Mary & Elizabeth MedChicago$241.74
St. Alexius Medical CenterHoffman Estates$273.48
Alexian Brothers Medical CenterElk Grove Village$273.48
Hammond-Henry HospitalGeneseo$274.5
Alexian Brothers Behavioral HealthHoffman Estates$278.42
Condell Medical CenterLibertyville$291.77
Advocate Christ HospitalOak Lawn$462.29
Advocate Lutheran General HospitalPark Ridge$468.77
Advocate Southland HospitalChicago$473.45
Advocate Good Samaritan HospitalDowners Grove$473.45
South Suburban HospitalHazelcrest$475.25
Good Shepherd HospitalBarrington$476.33
Advocate Northside Health SystemChicago$476.33
Anderson HospitalMaryville
Board Of Trustees Of The UniversityChicago$175.2$584
Washington County HospitalNashville$257.6$322