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CPT 70491 · negotiated-rate distribution across hospitals in TN

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Hospitals
15
Min
$60.81
Median
$176.43
Max
$301.21
Range multiplier
5.0×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield13135$114.03$188.12$541.044.7×
UnitedHealthcare1394$33.45$291.55$373.5511.2×
Cigna1380$54.25$406.6$671.1412.4×
Aetna1255$60.81$551.54$1,943.0132.0×
Medicare928$60.81$169.64$179.012.9×
Humana1228$60.81$168.03$224.933.7×
Ambetter1118$85.13$221.64$6177.2×
Medicare Advantage817$163.01$170.49$170.491.0×
optum va714$168.03$170.49$170.491.0×
smart health714$235.24$238.69$238.691.0×
amerigroup mcr replacement714$168.03$170.49$175.61.0×
point comfort underwriters714$151.23$153.44$153.441.0×
nhc advantage714$168.03$170.49$170.491.0×
centurion of tn714$168.03$170.49$170.491.0×
healthspring mcr replacement714$168.03$170.49$170.491.0×
ascension complete612$168.03$169.26$170.491.0×
wellpoint39$165.63$170.68$170.681.0×
farm bureau47$62.03$160.15$160.152.6×
Self-Pay (Cash)77$168.03$170.49$170.491.0×
Oscar Health77$235.24$238.69$238.691.0×
devoted health36$170.68$170.68$170.681.0×
Medicaid16$136.13$182.07$2341.7×
TRICARE56$162.55$163.11$164.361.0×
triwest va pccc36$170.49$170.49$170.491.0×
community plan44$148.75$148.75$148.751.0×
WellCare44$60.81$170.68$170.682.8×
galaxy health network33$1,012.5$1,012.5$1,012.51.0×
community services network33$731.25$731.25$731.251.0×
direct care america33$900$900$9001.0×
ehn33$506.25$506.25$506.251.0×
initial group33$990$990$9901.0×
ccn managed care33$956.25$956.25$956.251.0×
medsave usa33$900$900$9001.0×
national provider network33$900$900$9001.0×
novanet33$843.75$843.75$843.751.0×
optum33$162.55$162.55$162.551.0×
beech street33$956.25$956.25$956.251.0×
usa managed care organization33$787.5$787.5$787.51.0×
correctional medical services33$675$675$6751.0×
Molina12$136.13$153.15$170.161.2×
amerigroup22$53.21$105.89$158.563.0×
americhoice mcr replacement12$160.26$164.53$168.791.1×
blue11$60.81$60.81$60.811.0×
devoted health [450111]11$167.9$167.9$167.91.0×
amerivantage11$53.21$53.21$53.211.0×
provider network of america11$103.38$103.38$103.381.0×
amerigroup mcaid replacement11$156.27$156.27$156.271.0×
bluecare11$133.46$133.46$133.461.0×
generic hospice vbid [10940000101]11$163.01$163.01$163.011.0×
transplant optum tenncare [350013]11$153.9$153.9$153.91.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
METRO NASHVILLE GENERAL HOSPITALNASHVILLETN19$2,437$1,462.2$33.45$60.81$1,340.35
ST THOMAS HICKMAN HOSPITALCENTERVILLETN4$188.12$301.21$562.76
SAINT THOMAS RUTHERFORD HOSPITALMURFREESBOROTN19$2,690.2$807.06$153.44$188.12$1,398.9
SAINT THOMAS WEST HOSPITALNASHVILLETN19$2,690.2$807.06$153.44$188.12$1,398.9
SAINT THOMAS STONES RIVER HOSPITALWOODBURYTN19$3,736.55$1,120.97$148.75$179.01$1,943.01
SAINT THOMAS HIGHLAND HOSPITALSPARTATN19$3,736.55$1,120.97$148.75$176.43$1,943.01
ST THOMAS DEKALB HOSPITALSMITHVILLETN19$3,736.55$1,120.97$148.75$176.43$1,943.01
ASCENSION ST THOMAS RIVER PARKMCMINNVILLETN20$3,558.6$1,067.58$148.75$176.43$1,850.47
ROANE COUNTY MEDICAL CENTERHARRIMANTN24$1,125$348.75$123.57$170.68$1,012.5
FORT LOUDOUN MEDICAL CENTERLENOIR CITYTN24$1,125$360$123.57$170.68$1,012.5
MORRISTOWN-HAMBLEN HOSPITALMORRISTOWNTN24$1,125$348.75$123.57$170.68$1,012.5
SAINT THOMAS MIDTOWN HOSPITALNASHVILLETN21$153.44$170.49$562.76
METHODIST H/C MEMPHIS HOSPT.MEMPHISTN15$4,432$975.04$50$163.69$541.04
BIG SOUTH FORK MEDICAL CENTERONEIDATN0$1,276$382.8
ST THOMAS ASCENSIONNASHVILLETN0$5,893.37$1,473.34

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.