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CPT 70491 · negotiated-rate distribution across hospitals in SD

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Hospitals
5
Min
$1,963.77
Median
$2,843.07
Max
$5,967.00
Range multiplier
3.0×

By payer (36 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
TRICARE472$182.43$1,082.13$2,021.0011.1×
UnitedHealthcare536$820.68$2,872.38$5,967.007.3×
Blue Cross Blue Shield527$841.20$2,608.59$5,967.007.1×
Cigna424$2,813.76$2,901.69$2,901.691.0×
medica (commercial) 94265 [3081118]424$2,432.73$2,872.38$2,872.381.2×
govt employees health assn [3081090]424$1,934.46$2,872.38$2,872.381.5×
healthpartners [3081368]421$188.00$2,872.38$2,872.3815.3×
national telephone cooperative assn 52103 [3081149]416$1,934.46$2,872.38$2,872.381.5×
Meritain Health416$2,813.76$2,901.69$2,901.691.0×
risk admin svs [3081167]416$502.72$1,423.76$2,344.804.7×
Aetna412$2,637.90$2,711.18$2,784.451.1×
Humana510$193.03$2,931.00$5,967.0030.9×
tlc advantage llc [3081189]59$2,755.14$2,755.14$2,869.821.0×
avera health plans 46045 [3081018]59$2,154.29$2,843.07$2,843.071.3×
midlands choice 47080 [3081136]48$2,813.76$2,901.69$2,901.691.0×
allied benefit systems inc [3081320]48$2,813.76$2,901.69$2,901.691.0×
coresource 38225 [3081146]48$1,905.15$2,637.90$2,637.901.4×
employee benefit management 12x44 [3081079]48$2,491.35$2,637.90$2,637.901.1×
fedmed inc [3081283]48$2,784.45$2,843.07$2,843.071.0×
health partners sx009 [3081102]48$1,817.22$2,872.38$2,872.381.6×
key benefit administrators [3081332]48$2,813.76$2,901.69$2,901.691.0×
pacificsource health plans [3081333]48$2,491.35$2,637.90$2,637.901.1×
preferred one 41147 [3081160]48$2,813.76$2,901.69$2,901.691.0×
rocky mountain admin llc 83028 [3081168]48$2,344.80$2,637.90$2,637.901.1×
sanford health plan 91184 [3081174]48$2,637.90$2,843.07$2,843.071.1×
surest [3081369]48$1,934.46$2,872.38$2,872.381.5×
va ccn optum [3081339]44$183.84$820.68$1,084.475.9×
Medicare44$820.68$952.58$5,967.007.3×
Multiplan24$2,637.90$2,740.49$2,843.071.1×
group and pension administrators inc [3081098]24$2,637.90$2,740.49$2,843.071.1×
va black hills health care system 12115 [3081206]44$183.84$820.68$1,084.475.9×
va black hills health care system 12115 [3081207]33$820.68$820.68$1,084.471.3×
VA Health33$820.68$820.68$1,084.471.3×
Health Net33$820.68$820.68$1,084.471.3×
triwest healthcare alliance [3081322]33$820.68$820.68$1,084.471.3×
minnesota health care programs 12k16 [3081295]12$888.09$888.09$888.091.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Monument Health Spearfish HospitalSpearfishSD6$3,053.00$3,053.00$966.00$5,967.00$5,967.00
Monument Health Custer HospitalCusterSD35$2,931.00$2,931.00$502.72$2,872.38$2,931.00
Monument Health Lead-Deadwood HospitDeadwoodSD33$2,931.00$2,931.00$502.72$2,843.07$2,931.00
Monument Health Sturgis RegionalSturgisSD33$2,931.00$2,931.00$502.72$2,843.07$2,931.00
Monument Health Rapid City HospitalRapid CitySD31$2,931.00$2,931.00$182.43$1,963.77$2,813.76

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.