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ACL reconstruction

CPT 29888 · negotiated-rate distribution across hospitals in GA

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Hospitals
8
Min
$2,023.19
Median
$5,981.53
Max
$19,776
Range multiplier
9.8×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield414$58.84$3,302.85$24,884422.9×
UnitedHealthcare512$1$4,238.24$9,1939193.0×
Aetna510$1,848.6$4,946.8$10,4855.7×
Cigna59$1$5,792$19,77619776.0×
Humana59$1,026.72$5,751.47$7,097.646.9×
WellCare46$2,054$5,560.5$7,604.613.7×
CareSource36$5,866.5$6,960.16$12,6742.2×
First Health35$1,951.3$4,637$26,54113.6×
Medicaid14$1$2,328.43$7,458.517458.5×
Health Net13$1,026.72$1,992.38$2,0542.0×
riverwood behavioral health12$7,242.49$8,147.8$9,053.111.2×
devoted health22$2,177.24$4,818.5$7,459.763.4×
secure health op rate22$6,397$6,397$6,3971.0×
sonder health plan12$7,604.61$7,604.61$7,604.611.0×
alliant op rate22$3,175$3,175$3,1751.0×
banner health12$1,026.72$1,540.36$2,0542.0×
peach state12$7,459.76$8,075.38$8,690.991.2×
Ambetter22$8,052.06$8,052.06$8,052.061.0×
dodge cty op rate22$7,077.73$7,184.25$7,290.771.0×
Multiplan11$7,242.49$7,242.49$7,242.491.0×
naphcare11$11,226$11,226$11,2261.0×
novanet11$7,242.49$7,242.49$7,242.491.0×
Oscar Health11$9,415.24$9,415.24$9,415.241.0×
peach state hp op rate11$5,397.41$5,397.41$5,397.411.0×
phcs op rate11$27,131$27,131$27,1311.0×
prime health services11$7,242.49$7,242.49$7,242.491.0×
provider select11$7,242.49$7,242.49$7,242.491.0×
rural arizona network11$2,054$2,054$2,0541.0×
three rivers11$7,242.49$7,242.49$7,242.491.0×
TRICARE11$7,242.49$7,242.49$7,242.491.0×
united mine workers of america11$2,054$2,054$2,0541.0×
mercy care11$1,078.06$1,078.06$1,078.061.0×
americas choice provider network11$7,242.49$7,242.49$7,242.491.0×
amerigroup op rate11$5,345.05$5,345.05$5,345.051.0×
arizona complete health11$1,026.72$1,026.72$1,026.721.0×
arizona medical network11$2,054$2,054$2,0541.0×
beech street op rate11$26,541$26,541$26,5411.0×
bridgeway health solutions11$2,054$2,054$2,0541.0×
care 1st11$1,026.72$1,026.72$1,026.721.0×
centurion11$10,864$10,864$10,8641.0×
clear spring health plan11$7,242.49$7,242.49$7,242.491.0×
corvel11$7,242.49$7,242.49$7,242.491.0×
employer direct healthcare11$10,139$10,139$10,1391.0×
georgia workers’ compensation11$7,242.49$7,242.49$7,242.491.0×
health choice11$1,078.06$1,078.06$1,078.061.0×
health choice pathway11$2,054$2,054$2,0541.0×
health management network11$2,054$2,054$2,0541.0×
imperial insurance11$2,156.7$2,156.7$2,156.71.0×
Medicare11$7,242.49$7,242.49$7,242.491.0×
acchs11$1,026.72$1,026.72$1,026.721.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
SOUTHERN REGIONAL MEDICAL CENTERRIVERDALEGA26$88,443$7,242$58.84$7,242.49$15,102
HOUSTON MEDICAL CENTERWARNER ROBINSGA16$12,941$3,175$5,981.53$27,131
PERRY HOSPITALPERRYGA10$12,941$3,175$5,837.75$8,052.06
DODGE COUNTY HOSPITALEASTMANGA6$13,980$1$2,725$12,582
WEST CENTRAL GA REGIONAL HOSPITALCOLUMBUSGA22$2,054$1,524.07$1,026.72$2,023.19$2,177.24
ST. MARYS SACRED HEART HOSPITALLAVONIAGA1$19,776$19,776$19,776
SOUTHWELL MEDICALADELGA0
UNION GENERAL HOSPITALBLAIRSVILLEGA0

Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.