Initial hospital care, high complexity in Illinois

What Illinois hospitals charge for initial hospital care, high complexity (CPT 99223). Rates sourced from federally-mandated machine-readable files.

Hospitals
37
Rate rows
605
Neg. median
$187.5
Min
$38
Max
$1,007.81
Cash median
$362.4

Across 37 Illinois hospitals, the negotiated rate for Initial hospital care, high complexity ranges from $38 to $1,007.81, with a median of $187.5. The interquartile range is $158.96 to $405.46. Cash-pay patients typically pay $362.4; gross charges median $573.

By payer in Illinois

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

PayerHospitalsRatesMedian rate
Blue Cross Blue Shield2989$351.45
Aetna1769$162.24
Humana1633$163.56
Cigna1524$336.22
UnitedHealthcare1541$200
Molina1122$159.81
meridian912$158.97
Multiplan813$336.96
WellCare713$158.97
health partners open network44$336.33
Medicaid45$549.54
amerivantage44$166.32
healthlink47$406.25
prime health services36$253.19
Self-Pay (Cash)33$163.8
paymentrate22$448.05
paymentratepercent22$85
alliance coal23$225.71
grosschargerate22$528.5
care improvement plus22$164.54
meridian health plan26$161.31
First Health22$310.6
family health plan22$549.54
illinicare22$549.54
harmony health plan22$549.54
health alliance23$461.5
deidentifiedlower22$448.05
Medicare27$158.96
noncontracted23$261.7
deidentifiedhigher22$448.05

Hospital comparison — Initial hospital care, high complexity in Illinois

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

HospitalCityNegotiated medianCash rateGross charge
Valley West Community HospitalSandwich$130.3$140$200
Swedishamerican HospitalRockford$158.96$97.05$606.55
Carle Foundation HospitalUrbana$158.97
Carle Bromenn Medical CenterNormal$158.97
Heartland Regional Medical CenterMarion$163.56$163.8$468
Union County Hospital DistrictAnna$163.68$163.8$468
Trinity Rock IslandRock Island$178.04$362.4$453
Kirby HospitalMonticello$184.6$553.8$923
Richland Memorial HospitalOlney$187.5$625$625
Hoopeston Community Memorial HospitaHoopseton$187.5$625$625
Carle Eureka HospitalEureka$257.85$573$573
Red Bud Regional HospitalRed Bud$280.8$163.8$468
Pekin Memorial HospitalPekin$284.9$362.4$453
Proctor HospitalPeoria$284.9$362.4$453
Methodist Medical Ctr Of IllinoisPeoria$284.9$362.4$453
Presence Saint Joseph Hosp-ChicagoChicago$351.45
Presence Saint Francis HospitalEvanston$351.45
Presence St. Marys HospitalKankakee$351.45
Presence Saint Joseph Hospital ElginElgin$351.45
Marshall Browning HospitalDuquoin$441.6
Advocate Sherman HospitalElgin$447.57
Hammond-Henry HospitalGeneseo$454.5
Presence Saints Mary & Elizabeth MedChicago$484.94
Alexian Brothers Behavioral HealthHoffman Estates$500.94
Alexian Brothers Medical CenterElk Grove Village$549.54
St. Alexius Medical CenterHoffman Estates$549.54
Condell Medical CenterLibertyville$586.28
Advocate Christ HospitalOak Lawn$928.95
Advocate Lutheran General HospitalPark Ridge$941.97
Advocate Good Samaritan HospitalDowners Grove$951.38
Advocate Southland HospitalChicago$951.38
South Suburban HospitalHazelcrest$954.99
Advocate Northside Health SystemChicago$957.16
Good Shepherd HospitalBarrington$957.16
Board Of Trustees Of The UniversityChicago$341.4$1,138
Anderson HospitalMaryville
Washington County HospitalNashville$440.8$551