-----BEGIN PRIVACY-ENHANCED MESSAGE-----
Proc-Type: 2001,MIC-CLEAR
Originator-Name: webmaster@www.sec.gov
Originator-Key-Asymmetric:
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 TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB
MIC-Info: RSA-MD5,RSA,
 CSDaLTG3mJsIMXExnBKWtGYL+EuTWi8+44FY5K+PrlIX5qRPemp0u9lFe37Dr+b0
 OQWuv3Bpz0biXhB8rToIWQ==

<SEC-DOCUMENT>0001183695-03-000007.txt : 20031219
<SEC-HEADER>0001183695-03-000007.hdr.sgml : 20031219
<ACCEPTANCE-DATETIME>20031219171323
ACCESSION NUMBER:		0001183695-03-000007
CONFORMED SUBMISSION TYPE:	4
PUBLIC DOCUMENT COUNT:		1
CONFORMED PERIOD OF REPORT:	20031218
FILED AS OF DATE:		20031219

REPORTING-OWNER:	

	OWNER DATA:	
		COMPANY CONFORMED NAME:			WRISTEN EDWARD L
		CENTRAL INDEX KEY:			0001183695

	FILING VALUES:
		FORM TYPE:		4
		SEC ACT:		1934 Act
		SEC FILE NUMBER:	000-15846
		FILM NUMBER:		031065943

	MAIL ADDRESS:	
		STREET 1:		C/O FIRST HEALTH GROUP CORP
		STREET 2:		3200 HIGHLAND AVENUE
		CITY:			DOWNERS GROVE
		STATE:			IL
		ZIP:			60515

ISSUER:		

	COMPANY DATA:	
		COMPANY CONFORMED NAME:			FIRST HEALTH GROUP CORP
		CENTRAL INDEX KEY:			0000812910
		STANDARD INDUSTRIAL CLASSIFICATION:	HOSPITAL & MEDICAL SERVICE PLANS [6324]
		IRS NUMBER:				363307583
		STATE OF INCORPORATION:			DE
		FISCAL YEAR END:			1231

	BUSINESS ADDRESS:	
		STREET 1:		3200 HIGHLAND AVE
		STREET 2:		HEALTH COMPARE CORP
		CITY:			DOWNERS GROVE
		STATE:			IL
		ZIP:			60515
		BUSINESS PHONE:		6302417900

	MAIL ADDRESS:	
		STREET 1:		3200 HIGHLAND AVENUE
		STREET 2:		3200 HIGHLAND AVENUE
		CITY:			DOWNERS GROVE
		STATE:			IL
		ZIP:			60515

	FORMER COMPANY:	
		FORMER CONFORMED NAME:	HEALTHCARE COMPARE CORP/DE/
		DATE OF NAME CHANGE:	19920703
</SEC-HEADER>
<DOCUMENT>
<TYPE>4
<SEQUENCE>1
<FILENAME>primary_doc.xml
<DESCRIPTION>PRIMARY DOCUMENT
<TEXT>
<XML>
<?xml version="1.0"?>

<ownershipDocument>

    <schemaVersion>X0201</schemaVersion>

    <documentType>4</documentType>

    <periodOfReport>2003-12-18</periodOfReport>


    <notSubjectToSection16>0</notSubjectToSection16>

    <issuer>
        <issuerCik>0000812910</issuerCik>
        <issuerName>FIRST HEALTH GROUP CORP</issuerName>
        <issuerTradingSymbol>FHCC</issuerTradingSymbol>
    </issuer>

    <reportingOwner>
        <reportingOwnerId>
            <rptOwnerCik>0001183695</rptOwnerCik>
            <rptOwnerName>WRISTEN EDWARD L</rptOwnerName>
        </reportingOwnerId>
        <reportingOwnerAddress>
            <rptOwnerStreet1>C/O FIRST HEALTH GROUP CORP</rptOwnerStreet1>
            <rptOwnerStreet2>3200 HIGHLAND AVENUE</rptOwnerStreet2>
            <rptOwnerCity>DOWNERS GROVE</rptOwnerCity>
            <rptOwnerState>IL</rptOwnerState>
            <rptOwnerZipCode>60515</rptOwnerZipCode>
            <rptOwnerStateDescription></rptOwnerStateDescription>
        </reportingOwnerAddress>
        <reportingOwnerRelationship>
            <isDirector>1</isDirector>
            <isOfficer>1</isOfficer>
            <isTenPercentOwner>0</isTenPercentOwner>
            <isOther>0</isOther>
            <officerTitle>President and CEO</officerTitle>
        </reportingOwnerRelationship>
    </reportingOwner>

    <nonDerivativeTable>

        <nonDerivativeTransaction>
            <securityTitle>
                <value>Common stock</value>
            </securityTitle>
            <transactionDate>
                <value>2003-12-18</value>
            </transactionDate>
            <transactionCoding>
                <transactionFormType>5</transactionFormType>
                <transactionCode>G</transactionCode>
                <equitySwapInvolved>0</equitySwapInvolved>
            </transactionCoding>
            <transactionTimeliness>
                <value>E</value>
            </transactionTimeliness>
            <transactionAmounts>
                <transactionShares>
                    <value>10000</value>
                </transactionShares>
                <transactionPricePerShare>
                    <value>0</value>
                </transactionPricePerShare>
                <transactionAcquiredDisposedCode>
                    <value>D</value>
                </transactionAcquiredDisposedCode>
            </transactionAmounts>
            <postTransactionAmounts>
                <sharesOwnedFollowingTransaction>
                    <value>286532</value>
                </sharesOwnedFollowingTransaction>
            </postTransactionAmounts>
            <ownershipNature>
                <directOrIndirectOwnership>
                    <value>D</value>
                </directOrIndirectOwnership>
            </ownershipNature>
        </nonDerivativeTransaction>

    </nonDerivativeTable>



    <ownerSignature>
        <signatureName>Susan T. Smith Attorney in Fact for Edward L. Wristen.</signatureName>
        <signatureDate>2003-12-19</signatureDate>
    </ownerSignature>

</ownershipDocument>

</XML>
</TEXT>
</DOCUMENT>
</SEC-DOCUMENT>
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