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CPT 70491 · negotiated-rate distribution across hospitals in CO

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Hospitals
5
Min
$178.55
Median
$1,245.50
Max
$2,186.80
Range multiplier
12.2×

By payer (49 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Medicaid138$178.55$178.55$178.551.0×
UnitedHealthcare413$178.55$178.55$2,454.9413.7×
Blue Cross Blue Shield310$177.62$178.55$2,499.2014.1×
Aetna36$178.55$705.63$2,888.1616.2×
tmhp [50160]16$178.55$178.55$178.551.0×
wellpoint amerigroup [50170]15$178.55$178.55$178.551.0×
Molina25$178.55$178.55$703.003.9×
cook childrens health plan [50177]14$178.55$178.55$178.551.0×
Humana24$177.62$692.67$2,186.8012.3×
parkland community health plan [50190]14$178.55$178.55$178.551.0×
texas children's health plan [50198]13$178.55$178.55$178.551.0×
Anthem BCBS13$542.00$689.22$696.111.3×
community first plan [50184]13$178.55$178.55$178.551.0×
texas health network [50189]12$178.55$178.55$178.551.0×
evercare of texas [50171]12$178.55$178.55$178.551.0×
firstcare lubbock [50191]12$178.55$178.55$178.551.0×
unicare health plans of texas [50173]12$178.55$178.55$178.551.0×
dell childrens health plan [50227]12$178.55$178.55$178.551.0×
WellCare12$696.11$696.11$696.111.0×
rightcare - scott & white health plan [50212]12$178.55$178.55$178.551.0×
community health choice [50185]12$178.55$178.55$178.551.0×
rocky mountain health plan: commercial op11$2,186.80$2,186.80$2,186.801.0×
rocky mountain health plan: mcd11$289.54$289.54$289.541.0×
rocky mountain health plan: mcr adv11$177.62$177.62$177.621.0×
southwest health alliance11$351.09$351.09$351.091.0×
texas rehabilitation comm [50038]11$165.82$165.82$165.821.0×
tmhp-pccm [50208]11$178.55$178.55$178.551.0×
umr11$2,454.94$2,454.94$2,454.941.0×
Workers Comp11$293.23$293.23$293.231.0×
allsavers ip11$2,343.00$2,343.00$2,343.001.0×
caresoure kentucky11$2,133.30$2,133.30$2,133.301.0×
child health plan+11$2,030.60$2,030.60$2,030.601.0×
Cigna11$2,920.94$2,920.94$2,920.941.0×
cofinity11$2,186.80$2,186.80$2,186.801.0×
community health choice [50192]11$178.55$178.55$178.551.0×
driscoll health plan non-verified [2000000002]11$178.55$178.55$178.551.0×
friday health plan11$2,186.80$2,186.80$2,186.801.0×
generic coverage mcd mgd care [50244]11$178.55$178.55$178.551.0×
health management network11$2,655.40$2,655.40$2,655.401.0×
optum ccn region 111$696.11$696.11$696.111.0×
optum ccn region 211$696.11$696.11$696.111.0×
pending tx mgd mdcd # [50242]11$178.55$178.55$178.551.0×
point comfort underwrite inc [50215]11$178.55$178.55$178.551.0×
police departments [50065]11$1,000.00$1,000.00$1,000.001.0×
presbyterian of nm: mcd11$288.12$288.12$288.121.0×
presbyterian of nm: mcr ppo11$177.62$177.62$177.621.0×
presbyterian of nm: php pos, administrative services only & ppo plan11$2,499.20$2,499.20$2,499.201.0×
presbyterian of nm: php salud plan11$2,343.00$2,343.00$2,343.001.0×
rocky mountain health plan: commercial ip11$2,030.60$2,030.60$2,030.601.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
East Morgan County HospitalBrushCO10$3,282.00$1,969.20$542.00$696.11$2,888.16
Animas Surgical HospitalDurangoCO20$3,124.00$351.09$177.62$2,186.80$2,920.94
Rio Grande HospitalDel NorteCO26$9,676.80$1,935.36$165.82$178.55$1,000.00
Mt. San Rafael HospitalTrinidadCO2$2,012.00$1,408.00$859.00$1,245.50$1,811.00
Vail Valley Medical CenterVailCO0$1,977.00$1,482.75

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.