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Laparoscopic appendectomy

CPT 44970 · negotiated-rate distribution across hospitals in SD

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Hospitals
2
Min
$5,742
Median
$13,038
Max
$13,038
Range multiplier
2.3×

By payer (32 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
TRICARE19$5,888$5,888$5,8881.0×
Blue Cross Blue Shield28$5,742$7,640$9,8441.7×
UnitedHealthcare26$5,742$13,038$13,0382.3×
medica (commercial) 94265 [3081118]13$17,170$17,170$17,1701.0×
Humana23$5,742$5,888$18,6183.2×
healthpartners [3081368]13$5,888$5,888$5,8881.0×
govt employees health assn [3081090]13$13,038$13,038$13,0381.0×
Cigna13$19,811$19,811$19,8111.0×
Aetna13$18,618$18,618$18,6181.0×
Meritain Health12$19,811$19,811$19,8111.0×
Medicare22$5,742$5,815$5,8881.0×
national telephone cooperative assn 52103 [3081149]12$13,038$13,038$13,0381.0×
risk admin svs [3081167]12$7,972.51$7,972.51$7,972.511.0×
key benefit administrators [3081332]11$19,811$19,811$19,8111.0×
employee benefit management 12x44 [3081079]11$17,584$17,584$17,5841.0×
allied benefit systems inc [3081320]11$19,811$19,811$19,8111.0×
coresource 38225 [3081146]11$13,446$13,446$13,4461.0×
midlands choice 47080 [3081136]11$19,811$19,811$19,8111.0×
minnesota health care programs 12k16 [3081295]11$6,268.1$6,268.1$6,268.11.0×
Multiplan11$17,506$17,506$17,5061.0×
va black hills health care system 12115 [3081206]11$5,888$5,888$5,8881.0×
pacificsource health plans [3081333]11$17,584$17,584$17,5841.0×
preferred one 41147 [3081160]11$19,811$19,811$19,8111.0×
va ccn optum [3081339]11$5,888$5,888$5,8881.0×
rocky mountain admin llc 83028 [3081168]11$16,549$16,549$16,5491.0×
sanford health plan 91184 [3081174]11$18,618$18,618$18,6181.0×
surest [3081369]11$13,038$13,038$13,0381.0×
tlc advantage llc [3081189]11$19,446$19,446$19,4461.0×
avera health plans 46045 [3081018]11$15,168$15,168$15,1681.0×
health partners sx009 [3081102]11$12,004$12,004$12,0041.0×
group and pension administrators inc [3081098]11$17,506$17,506$17,5061.0×
fedmed inc [3081283]11$19,652$19,652$19,6521.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
MONUMENT HEALTH SPEARFISH HOSPITALSPEARFISHSD4$23,073$22,625$5,742$5,742$9,392
MONUMENT HEALTH RAPID CITY HOSPITALRAPID CITYSD32$20,687$20,687$5,888$13,038$19,811

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.