Negotiation Prep

Provider: Northwestern Memorial Hospital · Payer: Aetna · Generated: 2026-08-08 09:35 UTC

Your argument

2 of 11 procedures priced below market median with Aetna. Lead with 99283 HB ED Visit Level 3 — $37 per procedure below the market median, the sharpest single-line gap.

Procedures analyzed

Below median

-$67

Total gap (per proc)

Rate Comparison by Procedure

CPT	Description	Your Rate	Median	Top Quartile	Gap to Median	Gap to Top Q	N
99283	HB ED Visit Level 3	$675.41	$712.14	$904.16	-36.74	-228.75	34
70551	HB MRI Brain Stem W/O Dye	$1,582.61	$1,613.00	$1,743.64	-30.39	-161.04	34
27130	HB Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft	—	$13,412.63	$13,758.17	—	—	13
93000	ELECTROCARDIOGRAM COMPLETE	—	$31.33	$37.06	—	—	2
93005	Routine electrocardiogram (ECG) using at least 12 leads with tracing	—	$147.22	$250.87	—	—	32
71250	HB CT Thorax, Diagnostic W/O Dye	$1,063.05	$941.00	$1,063.05	+122.05	+0.00	34
99284	HB ED Visit Level 4	$1,561.82	$1,197.69	$1,825.15	+364.13	-263.33	34
70553	HB MRI Brain Stem W/O & W/Dye	$2,192.51	$1,613.00	$2,415.60	+579.51	-223.09	34
43239	HB Egd Transoral Biopsy Single/Multiple	$3,986.41	$2,504.97	$2,966.47	+1,481.44	+1,019.94	23
74177	HB CT Abd & Pelv W/Contrast	$2,462.97	$941.00	$2,544.00	+1,521.97	-81.03	34
29881	HB Arthroscop Knee Med and Lat	$10,998.85	$4,843.17	$10,376.79	+6,155.68	+622.06	20

Recommended Asks

Procedures where your rate sits below the market top quartile. Negotiating these to top-quartile is the standard ask.

CPT	Description	Current Rate	Target (Top Q)	Lift
99283	HB ED Visit Level 3	$675.41	$904.16	+228.75 (33.9%)
70551	HB MRI Brain Stem W/O Dye	$1,582.61	$1,743.64	+161.04 (10.2%)
99284	HB ED Visit Level 4	$1,561.82	$1,825.15	+263.33 (16.9%)
70553	HB MRI Brain Stem W/O & W/Dye	$2,192.51	$2,415.60	+223.09 (10.2%)
74177	HB CT Abd & Pelv W/Contrast	$2,462.97	$2,544.00	+81.03 (3.3%)

Anonymized Peer Comparison

Peer hospitals are anonymized to "Peer Hospital A/B/C…" sorted by rate (highest first). Real hospital identities are never included in this report.

CPT	Description	Peer rates
99283	HB ED Visit Level 3	Peer Hospital A $1,314.00 Peer Hospital B $1,277.86 Peer Hospital C $1,249.64 Peer Hospital D $1,228.50 Peer Hospital E $1,116.08 Peer 6 $1,071.89 Peer 7 $1,004.06 Peer 8 $904.28 Peer 9 $904.16 Peer 10 $847.02 Peer 11 $793.36 Peer 12 $792.00 Peer 13 $771.49 Peer 14 $771.49 Peer 15 $752.31 Peer 16 $745.45 Peer 17 $712.14 Peer 18 $712.14 Peer 19 $625.82 Peer 20 $501.74 Peer 21 $501.74 Peer 22 $501.74 Peer 23 $454.28 Peer 24 $365.66 Peer 25 $292.53 Peer 26 $292.53 Peer 27 $292.53 Peer 28 $292.53 Peer 29 $292.53 Peer 30 $292.53 Peer 31 $292.53 Peer 32 $292.53 Peer 33 $292.53
70551	HB MRI Brain Stem W/O Dye	Peer Hospital A $2,609.91 Peer Hospital B $2,544.00 Peer Hospital C $2,337.82 Peer Hospital D $1,993.53 Peer Hospital E $1,940.78 Peer 6 $1,932.44 Peer 7 $1,913.65 Peer 8 $1,882.47 Peer 9 $1,743.64 Peer 10 $1,613.00 Peer 11 $1,613.00 Peer 12 $1,613.00 Peer 13 $1,613.00 Peer 14 $1,613.00 Peer 15 $1,613.00 Peer 16 $1,613.00 Peer 17 $1,613.00 Peer 18 $1,613.00 Peer 19 $1,613.00 Peer 20 $1,613.00 Peer 21 $1,568.50 Peer 22 $1,458.43 Peer 23 $921.80 Peer 24 $825.75 Peer 25 $480.32 Peer 26 $319.62 Peer 27 $255.69 Peer 28 $255.69 Peer 29 $255.69 Peer 30 $255.69 Peer 31 $255.69 Peer 32 $255.69 Peer 33 $255.69
27130	HB Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft	Peer Hospital A $17,197.71 Peer Hospital B $15,754.09 Peer Hospital C $13,758.17 Peer Hospital D $13,758.17 Peer Hospital E $13,758.17 Peer 6 $13,425.00 Peer 7 $13,412.63 Peer 8 $11,957.09 Peer 9 $11,957.09 Peer 10 $11,957.09 Peer 11 $11,957.09 Peer 12 $11,345.94 Peer 13 $9,588.59
93000	ELECTROCARDIOGRAM COMPLETE	Peer Hospital A $37.06 Peer Hospital B $25.59
93005	Routine electrocardiogram (ECG) using at least 12 leads with tracing	Peer Hospital A $289.35 Peer Hospital B $283.24 Peer Hospital C $283.24 Peer Hospital D $283.24 Peer Hospital E $277.53 Peer 6 $257.52 Peer 7 $250.87 Peer 8 $250.87 Peer 9 $250.87 Peer 10 $246.43 Peer 11 $229.29 Peer 12 $208.66 Peer 13 $199.62 Peer 14 $190.08 Peer 15 $154.81 Peer 16 $148.24 Peer 17 $146.20 Peer 18 $144.42 Peer 19 $129.25 Peer 20 $120.70 Peer 21 $79.03 Peer 22 $63.22 Peer 23 $63.22 Peer 24 $63.22 Peer 25 $63.22 Peer 26 $63.22 Peer 27 $63.22 Peer 28 $63.22 Peer 29 $63.22 Peer 30 $63.22 Peer 31 $61.92 Peer 32 $52.64
71250	HB CT Thorax, Diagnostic W/O Dye	Peer Hospital A $1,753.10 Peer Hospital B $1,570.33 Peer Hospital C $1,339.07 Peer Hospital D $1,303.64 Peer Hospital E $1,298.04 Peer 6 $1,264.47 Peer 7 $1,176.11 Peer 8 $1,171.22 Peer 9 $1,017.50 Peer 10 $944.20 Peer 11 $941.00 Peer 12 $941.00 Peer 13 $941.00 Peer 14 $941.00 Peer 15 $941.00 Peer 16 $941.00 Peer 17 $941.00 Peer 18 $941.00 Peer 19 $941.00 Peer 20 $941.00 Peer 21 $941.00 Peer 22 $619.18 Peer 23 $508.05 Peer 24 $284.32 Peer 25 $140.04 Peer 26 $131.27 Peer 27 $112.03 Peer 28 $112.03 Peer 29 $112.03 Peer 30 $112.03 Peer 31 $112.03 Peer 32 $112.03 Peer 33 $112.03
99284	HB ED Visit Level 4	Peer Hospital A $2,482.00 Peer Hospital B $2,342.75 Peer Hospital C $2,320.50 Peer Hospital D $2,292.02 Peer Hospital E $2,207.18 Peer 6 $2,006.05 Peer 7 $1,901.28 Peer 8 $1,887.65 Peer 9 $1,825.15 Peer 10 $1,695.29 Peer 11 $1,496.00 Peer 12 $1,435.07 Peer 13 $1,364.94 Peer 14 $1,364.94 Peer 15 $1,354.15 Peer 16 $1,197.69 Peer 17 $1,197.69 Peer 18 $1,180.55 Peer 19 $873.99 Peer 20 $873.99 Peer 21 $868.60 Peer 22 $806.16 Peer 23 $804.39 Peer 24 $558.94 Peer 25 $447.15 Peer 26 $447.15 Peer 27 $447.15 Peer 28 $447.15 Peer 29 $447.15 Peer 30 $447.15 Peer 31 $447.15 Peer 32 $447.15 Peer 33 $447.15
70553	HB MRI Brain Stem W/O & W/Dye	Peer Hospital A $3,615.71 Peer Hospital B $3,238.76 Peer Hospital C $2,761.79 Peer Hospital D $2,688.71 Peer Hospital E $2,677.16 Peer 6 $2,607.93 Peer 7 $2,544.00 Peer 8 $2,528.99 Peer 9 $2,415.60 Peer 10 $1,988.89 Peer 11 $1,854.00 Peer 12 $1,613.00 Peer 13 $1,613.00 Peer 14 $1,613.00 Peer 15 $1,613.00 Peer 16 $1,613.00 Peer 17 $1,613.00 Peer 18 $1,613.00 Peer 19 $1,613.00 Peer 20 $1,613.00 Peer 21 $1,613.00 Peer 22 $1,613.00 Peer 23 $1,357.46 Peer 24 $1,277.04 Peer 25 $778.11 Peer 26 $467.33 Peer 27 $373.86 Peer 28 $373.86 Peer 29 $373.86 Peer 30 $373.86 Peer 31 $373.86 Peer 32 $373.86 Peer 33 $373.86
43239	HB Egd Transoral Biopsy Single/Multiple	Peer Hospital A $3,747.56 Peer Hospital B $3,702.89 Peer Hospital C $3,467.95 Peer Hospital D $3,017.46 Peer Hospital E $2,966.47 Peer 6 $2,737.98 Peer 7 $2,583.46 Peer 8 $2,506.82 Peer 9 $2,504.97 Peer 10 $2,504.97 Peer 11 $2,504.97 Peer 12 $2,504.97 Peer 13 $2,198.72 Peer 14 $2,160.59 Peer 15 $1,831.86 Peer 16 $1,658.62 Peer 17 $1,646.50 Peer 18 $1,332.97 Peer 19 $1,214.93 Peer 20 $971.94 Peer 21 $971.94 Peer 22 $971.94
74177	HB CT Abd & Pelv W/Contrast	Peer Hospital A $4,061.74 Peer Hospital B $3,638.29 Peer Hospital C $3,102.48 Peer Hospital D $3,020.38 Peer Hospital E $3,007.42 Peer 6 $2,929.64 Peer 7 $2,798.99 Peer 8 $2,713.59 Peer 9 $2,544.00 Peer 10 $2,111.86 Peer 11 $1,434.57 Peer 12 $1,392.55 Peer 13 $1,133.00 Peer 14 $941.00 Peer 15 $941.00 Peer 16 $941.00 Peer 17 $941.00 Peer 18 $941.00 Peer 19 $941.00 Peer 20 $941.00 Peer 21 $941.00 Peer 22 $941.00 Peer 23 $941.00 Peer 24 $941.00 Peer 25 $795.83 Peer 26 $467.33 Peer 27 $373.86 Peer 28 $373.86 Peer 29 $373.86 Peer 30 $373.86 Peer 31 $373.86 Peer 32 $373.86 Peer 33 $373.86
29881	HB Arthroscop Knee Med and Lat	Peer Hospital A $24,565.20 Peer Hospital B $12,172.06 Peer Hospital C $12,131.90 Peer Hospital D $10,376.79 Peer Hospital E $6,290.67 Peer 6 $5,289.01 Peer 7 $4,907.59 Peer 8 $4,843.17 Peer 9 $4,843.17 Peer 10 $4,843.17 Peer 11 $4,843.17 Peer 12 $4,382.92 Peer 13 $4,112.13 Peer 14 $3,658.67 Peer 15 $3,506.34 Peer 16 $3,506.34 Peer 17 $3,506.34 Peer 18 $3,237.90 Peer 19 $2,759.26