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Fetal non-stress test

CPT 59025 · negotiated-rate distribution across hospitals in SD

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Hospitals
2
Min
$522.72
Median
$5,795
Max
$5,795
Range multiplier
11.1×

By payer (32 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
TRICARE118$178.08$191.04$2041.1×
UnitedHealthcare214$204$419.76$5,79528.4×
medica (commercial) 94265 [3081118]19$527.88$527.88$657.361.2×
govt employees health assn [3081090]19$419.76$419.76$522.721.2×
Cigna19$610.56$610.56$760.321.2×
Aetna19$572.4$572.4$712.81.2×
Blue Cross Blue Shield28$204$527.5$5,79528.4×
Meritain Health16$610.56$610.56$760.321.2×
Humana26$47.91$572.4$5,795121.0×
national telephone cooperative assn 52103 [3081149]16$419.76$419.76$522.721.2×
risk admin svs [3081167]16$118.54$243.34$508.84.3×
tlc advantage llc [3081189]24$597.84$610.53$744.481.2×
allied benefit systems inc [3081320]13$610.56$610.56$760.321.2×
key benefit administrators [3081332]13$610.56$610.56$760.321.2×
employee benefit management 12x44 [3081079]13$540.6$540.6$673.21.2×
coresource 38225 [3081146]13$413.4$432.48$514.81.2×
midlands choice 47080 [3081136]13$610.56$610.56$760.321.2×
minnesota health care programs 12k16 [3081295]13$192.71$192.71$239.981.2×
Multiplan13$572.4$572.4$712.81.2×
health partners sx009 [3081102]13$394.32$394.32$491.041.2×
fedmed inc [3081283]13$604.2$604.2$752.41.2×
group and pension administrators inc [3081098]13$572.4$572.4$712.81.2×
healthpartners [3081368]13$204$204$2041.0×
pacificsource health plans [3081333]13$540.6$540.6$673.21.2×
preferred one 41147 [3081160]13$610.56$610.56$760.321.2×
rocky mountain admin llc 83028 [3081168]13$508.8$508.8$633.61.2×
sanford health plan 91184 [3081174]13$572.4$572.4$712.81.2×
surest [3081369]13$419.76$419.76$522.721.2×
avera health plans 46045 [3081018]13$467.46$467.46$582.121.2×
va black hills health care system 12115 [3081206]12$45.63$124.82$2044.5×
va ccn optum [3081339]12$45.63$124.82$2044.5×
Medicare22$204$2,999.5$5,79528.4×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
MONUMENT HEALTH SPEARFISH HOSPITALSPEARFISHSD5$1,111$1,484$521$5,795$5,795
MONUMENT HEALTH RAPID CITY HOSPITALRAPID CITYSD32$792$792$45.63$522.72$760.32

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.