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Vitrectomy mechanical

CPT 67042 · negotiated-rate distribution across hospitals in KS

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Hospitals
7
Min
$44
Median
$1,041.34
Max
$5,294.36
Range multiplier
120.3×

By payer (41 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare511$40$1,001.29$1,651.741.3×
Aetna610$90$1,041.34$5,294.3658.8×
Blue Cross Blue Shield410$1,589.95$5,495.53$7,015.34.4×
Workers Comp19$1,543.64$7,221.5$7,221.54.7×
kancare sunflower36$677.39$859.37$1,041.341.5×
kancare healthy blue36$677.39$859.37$1,041.341.5×
kancare amerigroup36$683.91$867.63$1,051.351.5×
Humana24$40$1,559.08$3,859.196.5×
TRICARE44$2,913.76$2,913.76$3,859.11.3×
providrs care33$1,402.45$1,402.45$1,402.451.0×
sunflower state13$40$44$1,037.9425.9×
Ambetter23$44$44$2,624.1959.6×
celtic insurance company13$40$44$441.1×
Cigna12$90$90$901.0×
centivo [5032000982]12$2,932.92$2,932.92$2,932.921.0×
gallagher bassett [5032000103]12$7,221.5$7,221.5$7,221.51.0×
Medicare12$1,543.64$1,559.08$1,574.511.0×
6 degrees health [503999050]12$3,010.1$3,434.6$3,859.11.3×
prime health services [503999912]11$7,221.5$7,221.5$7,221.51.0×
sedgwick claims management services [53201618]11$7,221.5$7,221.5$7,221.51.0×
triwest [503201703]11$3,859.1$3,859.1$3,859.11.0×
WellCare11$40$40$401.0×
wellfit [503301514]11$2,932.92$2,932.92$2,932.921.0×
triwest11$1,023.51$1,023.51$1,023.511.0×
advanced medical pricing solutions [503301513]11$4,630.92$4,630.92$4,630.921.0×
allwell [503200078]11$1,589.95$1,589.95$1,589.951.0×
alt bnsf railway co [503301503]11$7,221.5$7,221.5$7,221.51.0×
alt wppa [5032000964]11$3,087.28$3,087.28$3,087.281.0×
american health plans [503200968]11$1,620.82$1,620.82$1,620.821.0×
centurion [5032000966]11$2,006.73$2,006.73$2,006.731.0×
claimdoc [503301509]11$4,167.83$4,167.83$4,167.831.0×
devoted [503200068]11$1,543.64$1,543.64$1,543.641.0×
fort hays state student athletes [5032000960]11$3,241.64$3,241.64$3,241.641.0×
health partners11$90$90$901.0×
healthy blue11$1,037.94$1,037.94$1,037.941.0×
ku athletics [503200094]11$1,543.64$1,543.64$1,543.641.0×
lasso healthcare [503999926]11$1,543.64$1,543.64$1,543.641.0×
Medicaid11$1,602.06$1,602.06$1,602.061.0×
Multiplan11$4,167.83$4,167.83$4,167.831.0×
occunet [503999930]11$3,241.64$3,241.64$3,241.641.0×
oscar [503201609]11$1,852.37$1,852.37$1,852.371.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
VIA CHRISTI REHAB CENTER INCWICHITAKS1$5,294.36$5,294.36$5,294.36
NINNESCAH VALLEY HEALTH SYSTEMSKINGMANKS11$40$44$1,037.94
UNIVERSITY OF KANSAS HOSPITALKANSAS CITYKS30$31,013$6,202.6$1,543.64$2,971.51$7,221.5
WAMEGO HOSPITAL ASSOCIATIONWAMEGOKS8$651.34$1,041.34$7,015.3
MERCY REGIONAL HEALTH CENTERMANHATTANKS8$651.34$1,041.34$5,784.77
VIA CHRISTI HOSPITAL PITTSBURG INC.PITTSBURGKS8$651.34$1,041.34$5,784.77
CHILDRENS MERCY HOSPITAL KANSASOVERLAND PARKKS0$3,394$1,629.12

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.