Negotiation Prep

Provider: Northwestern Memorial Hospital  ·  Payer: Galaxy Health Network  ·  Generated: 2026-08-08 09:33 UTC
Your argument
2 of 9 procedures priced below market median with Galaxy Health Network. Lead with 99283 HB ED Visit Level 3 — $50 per procedure below the market median, the sharpest single-line gap.
9
Procedures analyzed
2
Below median
-$51
Total gap (per proc)

Rate Comparison by Procedure

CPTDescription Your RateMedianTop Quartile Gap to MedianGap to Top QN
99283 HB ED Visit Level 3 $2,212.75 $2,262.38 $2,312.00 -49.63 -99.25 2
99284 HB ED Visit Level 4 $4,695.75 $4,697.50 $4,699.25 -1.75 -3.50 2
70551 HB MRI Brain Stem W/O Dye $5,553.00 $5,553.00 $5,553.00 +0.00 +0.00 2
70553 HB MRI Brain Stem W/O & W/Dye $7,693.00 $7,693.00 $7,693.00 +0.00 +0.00 2
71250 HB CT Thorax, Diagnostic W/O Dye $3,730.00 $3,730.00 $3,730.00 +0.00 +0.00 2
74177 HB CT Abd & Pelv W/Contrast $8,642.00 $8,642.00 $8,642.00 +0.00 +0.00 2
93005 Routine electrocardiogram (ECG) using at least 12 leads with tracing $285.00 $285.00 1
43239 HB Egd Transoral Biopsy Single/Multiple $9,680.74 $9,371.90 $9,680.74 +308.84 +0.00 2
29881 HB Arthroscop Knee Med and Lat $36,662.84 $34,273.47 $36,662.84 +2,389.37 +0.00 2

Recommended Asks

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

CPTDescription Current RateTarget (Top Q)Lift
99283 HB ED Visit Level 3 $2,212.75 $2,312.00 +99.25 (4.5%)
99284 HB ED Visit Level 4 $4,695.75 $4,699.25 +3.50 (0.1%)

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.

CPTDescriptionPeer rates
99283 HB ED Visit Level 3 Peer Hospital A $2,312.00
99284 HB ED Visit Level 4 Peer Hospital A $4,699.25
70551 HB MRI Brain Stem W/O Dye Peer Hospital A $5,553.00
70553 HB MRI Brain Stem W/O & W/Dye Peer Hospital A $7,693.00
71250 HB CT Thorax, Diagnostic W/O Dye Peer Hospital A $3,730.00
74177 HB CT Abd & Pelv W/Contrast Peer Hospital A $8,642.00
93005 Routine electrocardiogram (ECG) using at least 12 leads with tracing Peer Hospital A $285.00
43239 HB Egd Transoral Biopsy Single/Multiple Peer Hospital A $9,063.06
29881 HB Arthroscop Knee Med and Lat Peer Hospital A $31,884.10