Waukegan, IL
32
In-network payers
325
Disclosed rate categories
228
Beds
1
Care quality
Vista Medical Center - East is a 228-bed voluntary non-profit - other hospital in Waukegan, IL. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 325 disclosed rate categories.
CCN (Medicare provider number)
140084
NPI
1639120694
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Other
Beds
228
Care Quality
1
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Vista Medical Center - East most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Childbirth · Inpatient
MS-DRG 807
$5,090 - $7,318
from 4 insurers · median $6,080
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$7,860 - $9,900
from 4 insurers · median $8,509
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 807
$5,090 - $7,318
from 4 insurers · median $6,080
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
CT imaging
CPT 74177
$439 - $715
from 3 insurers · median $451
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$1,346 - $3,179
from 3 insurers · median $1,889
127 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
Medicine & Surgery
CPT 47562
$4,183 - $7,253
from 4 insurers · median $5,995
12 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Cardiology and vascular testing
CPT 93306
$294 - $10,757
from 4 insurers · median $610
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$4,067 - $6,934
from 3 insurers · median $6,387
12 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 743
$9,367 - $13,095
from 4 insurers · median $10,580
Hospital reports inpatient surgical services to CMS
X-ray and bone density
CPT 71046
$80 - $1,606
from 4 insurers · median $178
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$6,934 - $10,286
from 3 insurers · median $7,138
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$903 - $2,774
from 3 insurers · median $1,327
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$932 - $16,277
from 4 insurers · median $1,485
Common here, based on CMS Medicare volume
Ultrasound
CPT 76642
$97 - $1,513
from 4 insurers · median $481
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$103 - $1,443
from 4 insurers · median $114
Common here, based on CMS Medicare volume
CT imaging
CPT 71250
$144 - $715
from 3 insurers · median $581
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$171 - $715
from 3 insurers · median $364
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$620 - $2,774
from 4 insurers · median $1,074
Common here, based on CMS Medicare volume
Digestive procedures
CPT 47563
$4,220 - $6,934
from 4 insurers · median $5,789
12 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Lung function and sleep
CPT 95810
$1,009 - $14,777
from 4 insurers · median $3,581
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$131 - $715
from 3 insurers · median $132
Common here, based on CMS Medicare volume
Lung function and sleep
CPT 95811
$1,023 - $17,383
from 4 insurers · median $4,233
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$4,083 - $6,934
from 3 insurers · median $6,522
Typical for a hospital with this service line
Gynecology
CPT 58662
$4,192 - $8,119
from 3 insurers · median $6,934
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 15 | 1588% | 7 | 1 |
| Insurer B* | 24 | 169% | 9 | 12 |
| Insurer C* | 23 | 120% | 0 | 20 |
| Insurer D* | 24 | 83% | 0 | 21 |
How we chose these services: 4 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 7 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Vista Medical Center - East.
1324 North Sheridan Road, Waukegan, IL 60085
(847) 360-3000
The nearest hospitals of similar type and size. Their rates are compared with Vista Medical Center - East for the same insurers and services above.
Northwestern Lake Forest Hospital
â–² Rates typically 159% higher than Vista Medical Center - East (21 services)
Advocate Condell Medical Center
â–² Rates typically 99% higher than Vista Medical Center - East (21 services)
Froedtert Pleasant Prairie Hospital
â–² Rates typically 221% higher than Vista Medical Center - East (21 services)
Advocate Good Shepherd Hospital
â–² Rates typically 119% higher than Vista Medical Center - East (21 services)
Evanston Hospital
â–² Rates typically 40% higher than Vista Medical Center - East (21 services)
Northwestern Medicine Mchenry Hospital
â–² Rates typically 123% higher than Vista Medical Center - East (21 services)
Lake Behavioral Hospital
V Covington, Llc
Rockford Memorial Hospital
Ascension St Alexius
About Vista Medical Center - East's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Vista Medical Center - East range from $439 to $715 across 3 insurers. Aetna's rate is $439. The median at nearby comparable hospitals is $1,489. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Vista Medical Center - East range from $903 to $2,774 across 3 insurers. Blue Cross Blue Shield of Illinois's rate is $1,327. The median at nearby comparable hospitals is $3,030. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Vista Medical Center - East range from $5,090 to $7,318 across 4 insurers. Cigna's rate is $5,090. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Vista Medical Center - East range from $103 to $1,443 across 4 insurers. Aetna's rate is $111. The median at nearby comparable hospitals is $263. What a patient pays depends on their plan's deductible, coinsurance and network status.
Vista Medical Center - East has 228 beds. Facility type: Short Term Acute Care Hospital.
Vista Medical Center - East is located at 1324 North Sheridan Road, Waukegan, IL 60085. Its main phone number is (847) 360-3000.
Vista Medical Center - East's CMS Certification Number (CCN), also called its Medicare provider number, is 140084.
The National Provider Identifier (NPI) on file for Vista Medical Center - East is 1639120694.
Vista Medical Center - East lists 32 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
325 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers