Negotiation Prep

Provider: Northwestern Memorial Hospital · Payer: UnitedHealthcare · Generated: 2026-08-08 09:34 UTC

Your argument

All 10 procedures analyzed with UnitedHealthcare are at or above market median. This is a defense meeting, not an ask meeting.

Procedures analyzed

Below median

Total gap (per proc)

Rate Comparison by Procedure

CPT	Description	Your Rate	Median	Top Quartile	Gap to Median	Gap to Top Q	N
27130	HB Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft	—	$26,155.50	$34,410.00	—	—	21
93005	Routine electrocardiogram (ECG) using at least 12 leads with tracing	—	$240.50	$285.00	—	—	18
43239	HB Egd Transoral Biopsy Single/Multiple	$4,597.00	$4,481.00	$4,481.00	+116.00	+116.00	31
99283	HB ED Visit Level 3	$2,212.75	$1,501.00	$2,212.75	+711.75	+0.00	19
99284	HB ED Visit Level 4	$3,607.00	$2,484.00	$3,067.00	+1,123.00	+540.00	18
71250	HB CT Thorax, Diagnostic W/O Dye	$3,730.00	$718.00	$3,730.00	+3,012.00	+0.00	22
70551	HB MRI Brain Stem W/O Dye	$5,553.00	$1,276.00	$5,553.00	+4,277.00	+0.00	22
70553	HB MRI Brain Stem W/O & W/Dye	$7,693.00	$1,276.00	$7,693.00	+6,417.00	+0.00	22
74177	HB CT Abd & Pelv W/Contrast	$8,642.00	$911.18	$8,642.00	+7,730.82	+0.00	22
29881	HB Arthroscop Knee Med and Lat	$36,662.84	$10,419.75	$12,643.50	+26,243.09	+24,019.34	28

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
No procedures fall below the top quartile — no rate-lift asks recommended.

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
27130	HB Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft	Peer Hospital A $36,418.00 Peer Hospital B $34,410.00 Peer Hospital C $34,410.00 Peer Hospital D $34,410.00 Peer Hospital E $34,410.00 Peer 6 $34,410.00 Peer 7 $34,410.00 Peer 8 $34,410.00 Peer 9 $34,410.00 Peer 10 $34,410.00 Peer 11 $26,155.50 Peer 12 $26,155.50 Peer 13 $26,155.50 Peer 14 $26,155.50 Peer 15 $20,497.00 Peer 16 $17,348.50 Peer 17 $17,230.00 Peer 18 $10,290.00 Peer 19 $9,590.00 Peer 20 $8,815.50 Peer 21 $6,654.00
93005	Routine electrocardiogram (ECG) using at least 12 leads with tracing	Peer Hospital A $435.00 Peer Hospital B $368.74 Peer Hospital C $340.00 Peer Hospital D $291.02 Peer Hospital E $285.00 Peer 6 $240.50 Peer 7 $240.50 Peer 8 $240.50 Peer 9 $240.50 Peer 10 $240.50 Peer 11 $240.50 Peer 12 $240.50 Peer 13 $240.50 Peer 14 $239.50 Peer 15 $206.72 Peer 16 $152.00 Peer 17 $147.00 Peer 18 $112.00
43239	HB Egd Transoral Biopsy Single/Multiple	Peer Hospital A $7,272.00 Peer Hospital B $6,563.59 Peer Hospital C $6,307.70 Peer Hospital D $6,004.38 Peer Hospital E $4,749.00 Peer 6 $4,597.00 Peer 7 $4,481.00 Peer 8 $4,481.00 Peer 9 $4,481.00 Peer 10 $4,481.00 Peer 11 $4,481.00 Peer 12 $4,481.00 Peer 13 $4,481.00 Peer 14 $4,481.00 Peer 15 $4,481.00 Peer 16 $4,149.00 Peer 17 $3,946.00 Peer 18 $3,878.50 Peer 19 $3,779.00 Peer 20 $3,084.59 Peer 21 $2,892.00 Peer 22 $2,892.00 Peer 23 $2,612.50 Peer 24 $2,549.50 Peer 25 $2,549.50 Peer 26 $2,549.50 Peer 27 $2,549.50 Peer 28 $2,255.50 Peer 29 $1,637.50 Peer 30 $1,520.00
99283	HB ED Visit Level 3	Peer Hospital A $2,517.25 Peer Hospital B $2,501.50 Peer Hospital C $2,349.00 Peer Hospital D $2,312.00 Peer Hospital E $1,924.00 Peer 6 $1,728.86 Peer 7 $1,702.27 Peer 8 $1,501.00 Peer 9 $1,501.00 Peer 10 $1,501.00 Peer 11 $1,501.00 Peer 12 $1,501.00 Peer 13 $1,501.00 Peer 14 $1,501.00 Peer 15 $1,501.00 Peer 16 $1,501.00 Peer 17 $901.00 Peer 18 $882.00
99284	HB ED Visit Level 4	Peer Hospital A $4,802.00 Peer Hospital B $3,607.00 Peer Hospital C $3,495.00 Peer Hospital D $3,067.00 Peer Hospital E $2,484.00 Peer 6 $2,484.00 Peer 7 $2,484.00 Peer 8 $2,484.00 Peer 9 $2,484.00 Peer 10 $2,484.00 Peer 11 $2,484.00 Peer 12 $2,484.00 Peer 13 $2,484.00 Peer 14 $2,400.50 Peer 15 $2,400.50 Peer 16 $1,938.50 Peer 17 $1,470.50
71250	HB CT Thorax, Diagnostic W/O Dye	Peer Hospital A $3,730.00 Peer Hospital B $3,730.00 Peer Hospital C $3,730.00 Peer Hospital D $3,730.00 Peer Hospital E $3,730.00 Peer 6 $3,730.00 Peer 7 $3,730.00 Peer 8 $1,434.50 Peer 9 $718.00 Peer 10 $718.00 Peer 11 $718.00 Peer 12 $718.00 Peer 13 $718.00 Peer 14 $718.00 Peer 15 $718.00 Peer 16 $718.00 Peer 17 $718.00 Peer 18 $718.00 Peer 19 $718.00 Peer 20 $326.91 Peer 21 $326.91
70551	HB MRI Brain Stem W/O Dye	Peer Hospital A $5,553.00 Peer Hospital B $5,553.00 Peer Hospital C $5,553.00 Peer Hospital D $5,553.00 Peer Hospital E $5,553.00 Peer 6 $5,553.00 Peer 7 $5,553.00 Peer 8 $2,042.50 Peer 9 $1,276.00 Peer 10 $1,276.00 Peer 11 $1,276.00 Peer 12 $1,276.00 Peer 13 $1,276.00 Peer 14 $1,276.00 Peer 15 $1,276.00 Peer 16 $1,276.00 Peer 17 $1,276.00 Peer 18 $1,276.00 Peer 19 $1,276.00 Peer 20 $690.39 Peer 21 $690.39
70553	HB MRI Brain Stem W/O & W/Dye	Peer Hospital A $7,693.00 Peer Hospital B $7,693.00 Peer Hospital C $7,693.00 Peer Hospital D $7,693.00 Peer Hospital E $7,693.00 Peer 6 $7,693.00 Peer 7 $7,693.00 Peer 8 $3,150.50 Peer 9 $1,276.00 Peer 10 $1,276.00 Peer 11 $1,276.00 Peer 12 $1,276.00 Peer 13 $1,276.00 Peer 14 $1,276.00 Peer 15 $1,276.00 Peer 16 $1,276.00 Peer 17 $1,276.00 Peer 18 $1,276.00 Peer 19 $1,276.00 Peer 20 $1,104.36 Peer 21 $1,104.36
74177	HB CT Abd & Pelv W/Contrast	Peer Hospital A $8,642.00 Peer Hospital B $8,642.00 Peer Hospital C $8,642.00 Peer Hospital D $8,642.00 Peer Hospital E $8,642.00 Peer 6 $8,642.00 Peer 7 $8,642.00 Peer 8 $3,763.00 Peer 9 $1,104.36 Peer 10 $1,104.36 Peer 11 $718.00 Peer 12 $718.00 Peer 13 $718.00 Peer 14 $718.00 Peer 15 $718.00 Peer 16 $718.00 Peer 17 $718.00 Peer 18 $718.00 Peer 19 $718.00 Peer 20 $718.00 Peer 21 $718.00
29881	HB Arthroscop Knee Med and Lat	Peer Hospital A $39,689.56 Peer Hospital B $24,527.44 Peer Hospital C $18,876.05 Peer Hospital D $14,227.00 Peer Hospital E $12,643.50 Peer 6 $12,643.50 Peer 7 $12,643.50 Peer 8 $12,643.50 Peer 9 $12,643.50 Peer 10 $12,643.50 Peer 11 $12,643.50 Peer 12 $12,643.50 Peer 13 $12,643.50 Peer 14 $8,196.00 Peer 15 $8,196.00 Peer 16 $8,196.00 Peer 17 $8,196.00 Peer 18 $7,929.00 Peer 19 $7,926.50 Peer 20 $7,252.50 Peer 21 $5,868.00 Peer 22 $5,868.00 Peer 23 $5,801.00 Peer 24 $5,575.00 Peer 25 $4,991.50 Peer 26 $4,132.00 Peer 27 $4,035.00