Data current as of Apr 17, 2026
Overview
Dashboard
Leverage analysis for Northwestern Memorial Hospital across 11 payers and all indexed procedures.
Your argument
You have $424.1K/yr of leverage across 14 underpaid contract lines. The biggest single opportunity is with Imagine Health.
Total annual leverage
$424.1K
across 14 below-median lines at 100/yr default volume
Biggest payer gap
$215.0K
Imagine Health
Biggest procedure gap
$154.1K
CPT 43239
Lift to top quartile
$1.3M
additional headroom
Data coverage
- Hospitals (MRF)46 / 46
- Provider NPIs (TiC)1,668 / 1,668
- Rate records219,808
- Canonical payers5 / 5
14
Below median
lines worth a renegotiation ask
67
Above median — defend
payers may push back to lower
10
MRF–TiC divergences ≥ 20%
signals to investigate
11
Payers analyzed
in your contract lines
Priority targets
View gap analysis →| Payer | CPT | Procedure | Your rate | Market median | Gap % | Annual impact | Signals |
|---|---|---|---|---|---|---|---|
| HealthLink | 43239 | HB Egd Transoral Biopsy… | $4,597 | $5,681 | -19.1% | $108.4K | Bottom quartile |
| Imagine Health | 74177 | HB CT Abd & Pelv W/Contr… | $2,333 | $2,981 | -21.7% | $64.8K | Below peers |
| Imagine Health | 70553 | HB MRI Brain Stem W/O &… | $2,077 | $2,654 | -21.7% | $57.7K | Below peers |
| Multiplan | 43239 | HB Egd Transoral Biopsy… | $7,500 | $7,957 | -5.7% | $45.7K | Below peers |
| Imagine Health | 70551 | HB MRI Brain Stem W/O Dye | $1,499 | $1,916 | -21.7% | $41.6K | Below peers |
Recent divergence alerts
- Blue Cross Blue Shield29881MRF reports 96% higher than TiC-$17,687 delta
- Blue Cross Blue Shield99284MRF reports 94% higher than TiC-$2,458 delta
- Blue Cross Blue Shield43239MRF reports 93% higher than TiC-$5,218 delta
Next step
Build a prep packet for Imagine Health · 6 underpaid procedures worth ~$215.0K.
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