Negotiation Prep

Provider: Northwestern Memorial Hospital  ·  Payer: Multiplan  ·  Generated: 2026-08-08 09:36 UTC
Your argument
1 of 9 procedures priced below market median with Multiplan. Lead with 43239 HB Egd Transoral Biopsy Single/Multiple — $457 per procedure below the market median, the sharpest single-line gap.
9
Procedures analyzed
1
Below median
-$457
Total gap (per proc)

Rate Comparison by Procedure

CPTDescription Your RateMedianTop Quartile Gap to MedianGap to Top QN
43239 HB Egd Transoral Biopsy Single/Multiple $7,500.00 $7,957.27 $8,573.40 -457.27 -1,073.40 10
93005 Routine electrocardiogram (ECG) using at least 12 leads with tracing — $356.00 $391.50 — — 18
99283 HB ED Visit Level 3 $1,962.60 $1,180.38 $1,962.60 +782.22 +0.00 20
71250 HB CT Thorax, Diagnostic W/O Dye $3,730.00 $2,359.00 $3,357.00 +1,371.00 +373.00 20
99284 HB ED Visit Level 4 $4,117.30 $2,042.75 $4,117.30 +2,074.55 +0.00 20
70551 HB MRI Brain Stem W/O Dye $5,553.00 $2,971.00 $4,997.70 +2,582.00 +555.30 20
70553 HB MRI Brain Stem W/O & W/Dye $7,693.00 $4,626.50 $6,923.70 +3,066.50 +769.30 20
74177 HB CT Abd & Pelv W/Contrast $8,642.00 $5,066.50 $7,777.80 +3,575.50 +864.20 20
29881 HB Arthroscop Knee Med and Lat $36,662.84 $28,152.30 $36,662.84 +8,510.54 +0.00 8

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
43239 HB Egd Transoral Biopsy Single/Multiple $7,500.00 $8,573.40 +1,073.40 (14.3%)

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.

CPTDescriptionPeer rates
43239 HB Egd Transoral Biopsy Single/Multiple Peer Hospital A $9,102.00 Peer Hospital B $8,960.94 Peer Hospital C $8,573.40 Peer Hospital D $8,527.93 Peer Hospital E $8,414.54 Peer 6 $7,175.32 Peer 7 $7,033.69 Peer 8 $4,137.30 Peer 9 $1,324.00
93005 Routine electrocardiogram (ECG) using at least 12 leads with tracing Peer Hospital A $450.00 Peer Hospital B $420.00 Peer Hospital C $420.00 Peer Hospital D $406.88 Peer Hospital E $391.50 Peer 6 $378.45 Peer 7 $372.00 Peer 8 $372.00 Peer 9 $372.00 Peer 10 $340.00 Peer 11 $306.00 Peer 12 $298.15 Peer 13 $296.00 Peer 14 $277.10 Peer 15 $270.38 Peer 16 $255.43 Peer 17 $242.25 Peer 18 $100.80
99283 HB ED Visit Level 3 Peer Hospital A $1,979.80 Peer Hospital B $1,978.15 Peer Hospital C $1,971.13 Peer Hospital D $1,962.60 Peer Hospital E $1,907.00 Peer 6 $1,798.94 Peer 7 $1,776.91 Peer 8 $1,731.60 Peer 9 $1,216.75 Peer 10 $1,144.00 Peer 11 $1,144.00 Peer 12 $1,056.00 Peer 13 $1,056.00 Peer 14 $928.00 Peer 15 $871.00 Peer 16 $744.00 Peer 17 $744.00 Peer 18 $744.00 Peer 19 $706.50
71250 HB CT Thorax, Diagnostic W/O Dye Peer Hospital A $3,730.00 Peer Hospital B $3,357.00 Peer Hospital C $3,357.00 Peer Hospital D $3,357.00 Peer Hospital E $3,319.70 Peer 6 $3,263.75 Peer 7 $3,245.10 Peer 8 $3,039.95 Peer 9 $2,718.00 Peer 10 $2,000.00 Peer 11 $2,000.00 Peer 12 $1,800.00 Peer 13 $1,800.00 Peer 14 $1,527.60 Peer 15 $1,325.25 Peer 16 $1,280.00 Peer 17 $1,256.00 Peer 18 $1,248.00 Peer 19 $1,248.00
99284 HB ED Visit Level 4 Peer Hospital A $4,324.63 Peer Hospital B $4,245.80 Peer Hospital C $4,166.00 Peer Hospital D $4,142.33 Peer Hospital E $3,830.53 Peer 6 $3,714.13 Peer 7 $3,593.23 Peer 8 $3,246.30 Peer 9 $2,061.50 Peer 10 $2,024.00 Peer 11 $2,024.00 Peer 12 $2,008.00 Peer 13 $1,776.00 Peer 14 $1,776.00 Peer 15 $1,366.80 Peer 16 $1,296.00 Peer 17 $1,296.00 Peer 18 $1,288.00 Peer 19 $1,251.00
70551 HB MRI Brain Stem W/O Dye Peer Hospital A $5,553.00 Peer Hospital B $4,997.70 Peer Hospital C $4,997.70 Peer Hospital D $4,997.70 Peer Hospital E $4,942.17 Peer 6 $4,858.88 Peer 7 $4,831.11 Peer 8 $4,525.70 Peer 9 $3,222.00 Peer 10 $2,720.00 Peer 11 $2,720.00 Peer 12 $2,640.00 Peer 13 $2,640.00 Peer 14 $2,408.00 Peer 15 $2,365.10 Peer 16 $2,280.00 Peer 17 $2,092.50 Peer 18 $1,936.00 Peer 19 $1,936.00
70553 HB MRI Brain Stem W/O & W/Dye Peer Hospital A $7,693.00 Peer Hospital B $6,923.70 Peer Hospital C $6,923.70 Peer Hospital D $6,923.70 Peer Hospital E $6,846.77 Peer 6 $6,731.38 Peer 7 $6,692.91 Peer 8 $6,269.80 Peer 9 $5,013.00 Peer 10 $4,240.00 Peer 11 $4,240.00 Peer 12 $4,120.00 Peer 13 $4,120.00 Peer 14 $3,776.00 Peer 15 $3,685.00 Peer 16 $3,584.00 Peer 17 $3,293.75 Peer 18 $3,064.00 Peer 19 $3,064.00
74177 HB CT Abd & Pelv W/Contrast Peer Hospital A $8,642.00 Peer Hospital B $7,777.80 Peer Hospital C $7,777.80 Peer Hospital D $7,777.80 Peer Hospital E $7,691.38 Peer 6 $7,561.75 Peer 7 $7,518.54 Peer 8 $7,043.23 Peer 9 $5,805.00 Peer 10 $4,328.00 Peer 11 $4,328.00 Peer 12 $3,928.00 Peer 13 $3,928.00 Peer 14 $3,329.90 Peer 15 $2,968.25 Peer 16 $2,896.00 Peer 17 $2,848.00 Peer 18 $2,832.00 Peer 19 $2,832.00
29881 HB Arthroscop Knee Med and Lat Peer Hospital A $42,329.19 Peer Hospital B $31,896.67 Peer Hospital C $29,203.12 Peer Hospital D $27,101.49 Peer Hospital E $26,607.42 Peer 6 $19,166.20 Peer 7 $1,892.00
Data sourced from CMS Hospital Price Transparency machine-readable files.
Peer hospitals anonymized. Rates reflect median negotiated amounts across available plan variants.
This report is for informational purposes and does not constitute legal or financial advice.