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Vitrectomy mechanical

CPT 67042 · negotiated-rate distribution across hospitals in TN

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Hospitals
12
Min
$3,088.50
Median
$3,404.30
Max
$3,783.55
Range multiplier
1.2×

By payer (35 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Cigna1274$2,543.00$3,766.00$7,690.303.0×
UnitedHealthcare435$1,639.00$3,857.02$7,690.304.7×
Blue Cross Blue Shield733$1,074.00$3,857.02$4,036.003.8×
Humana410$3,683.73$3,783.55$3,783.551.0×
wellpoint39$3,560.83$3,857.02$3,857.021.1×
Aetna36$2,794.39$3,325.71$3,857.021.4×
devoted health36$3,857.02$3,857.02$3,857.021.0×
farm bureau36$3,543.95$3,543.95$3,543.951.0×
Medicaid16$297.00$3,012.42$3,342.9811.3×
community plan44$1,561.28$1,561.28$1,561.281.0×
TRICARE44$3,637.05$3,673.35$3,673.351.0×
direct care america33$80.00$80.00$80.001.0×
ehn33$45.00$45.00$45.001.0×
WellCare33$3,857.02$3,857.02$3,857.021.0×
galaxy health network33$90.00$90.00$90.001.0×
community services network33$65.00$65.00$65.001.0×
correctional medical services33$60.00$60.00$60.001.0×
Ambetter33$1,941.00$1,941.00$1,941.001.0×
Medicare13$3,683.73$3,683.73$3,683.731.0×
medsave usa33$80.00$80.00$80.001.0×
national provider network33$80.00$80.00$80.001.0×
novanet33$75.00$75.00$75.001.0×
optum33$3,673.35$3,673.35$3,673.351.0×
usa managed care organization33$70.00$70.00$70.001.0×
ccn managed care33$85.00$85.00$85.001.0×
beech street33$85.00$85.00$85.001.0×
initial group33$88.00$88.00$88.001.0×
Molina12$3,012.42$3,388.98$3,765.531.3×
american health advantage mcr adv [450117]11$3,683.73$3,683.73$3,683.731.0×
carecentrix [450200]11$3,683.73$3,683.73$3,683.731.0×
va hospital [600005]11$3,683.73$3,683.73$3,683.731.0×
generic hospice vbid [10940000101]11$3,683.73$3,683.73$3,683.731.0×
Medicare Advantage11$3,683.73$3,683.73$3,683.731.0×
devoted health [450111]11$3,794.24$3,794.24$3,794.241.0×
transplant optum tenncare [350013]11$1,639.00$1,639.00$1,639.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Morristown-Hamblen HospitalMorristownTN24$45.00$3,783.55$6,324.00
Roane County Medical CenterHarrimanTN24$45.00$3,783.55$6,324.00
Fort Loudoun Medical CenterLenoir CityTN24$45.00$3,783.55$6,324.00
Methodist H/C Memphis Hospt.MemphisTN15$22,786$5,012.88$297.00$3,683.73$7,690.30
Saint Thomas Rutherford HospitalMurfreesboroTN2$3,006.00$3,404.30$6,650.00
Saint Thomas West HospitalNashvilleTN2$3,006.00$3,404.30$6,650.00
St Thomas Hickman HospitalCentervilleTN1$3,006.00$3,142.00$5,086.00
Saint Thomas Stones River HospitalWoodburyTN2$1,561.28$3,142.00$5,086.00
Saint Thomas Midtown HospitalNashvilleTN2$2,543.00$3,110.30$5,597.00
Ascension St Thomas River ParkMcminnvilleTN2$1,561.28$3,088.50$5,086.00
Saint Thomas Highland HospitalSpartaTN2$1,561.28$3,088.50$5,086.00
St Thomas Dekalb HospitalSmithvilleTN2$1,561.28$3,088.50$5,086.00

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.