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CPT 70491 · negotiated-rate distribution across hospitals in WA

Hospitals

Min

$153.51

Median

$507.67

Max

$1,404.9

Range multiplier

9.2×

By payer (50 payers with published rates)

Payer	Hosp.	Rates	Min	Median	Max	Range×
Blue Cross Blue Shield	3	17	$203.68	$520.38	$1,404.9	6.9×
UnitedHealthcare	3	7	$153.51	$507.67	$2,633.07	17.2×
Aetna	3	6	$61.79	$413.57	$2,933.04	47.5×
Humana	3	4	$153.51	$205.72	$226.85	1.5×
zzprovidence [150129]	1	2	$507.67	$507.67	$507.67	1.0×
benefit md [150113]	1	2	$507.67	$507.67	$507.67	1.0×
first choice health administrators [150110]	1	2	$507.67	$507.67	$507.67	1.0×
first choice health comp [150112]	1	2	$507.67	$507.67	$507.67	1.0×
first choice umr [150138]	1	2	$507.67	$507.67	$507.67	1.0×
Health Net	1	2	$507.67	$507.67	$507.67	1.0×
here [150114]	1	2	$507.67	$507.67	$507.67	1.0×
hotel employees health trust [150115]	1	2	$507.67	$507.67	$507.67	1.0×
international longshore & warehouse union [150116]	1	2	$507.67	$507.67	$507.67	1.0×
kitsap physician services [150118]	1	2	$507.67	$507.67	$507.67	1.0×
loomis benefits west [150119]	1	2	$507.67	$507.67	$507.67	1.0×
Medicare	1	2	$203.68	$208.78	$213.87	1.1×
Medicare Advantage	1	2	$235.49	$235.49	$235.49	1.0×
mega [150120]	1	2	$507.67	$507.67	$507.67	1.0×
midwest [150121]	1	2	$507.67	$507.67	$507.67	1.0×
Molina	2	2	$346.26	$416.19	$486.11	1.4×
nw administrators [150123]	1	2	$507.67	$507.67	$507.67	1.0×
operating engineers [150125]	1	2	$507.67	$507.67	$507.67	1.0×
painters trust [150126]	1	2	$507.67	$507.67	$507.67	1.0×
puget sound electric [150131]	1	2	$507.67	$507.67	$507.67	1.0×
seattle plumb and pipe [150132]	1	2	$507.67	$507.67	$507.67	1.0×
the health plan	1	2	$48.64	$101.07	$153.51	3.2×
trusteed plan [150101]	1	2	$507.67	$507.67	$507.67	1.0×
washington bakers trust [150102]	1	2	$507.67	$507.67	$507.67	1.0×
washington employers trust [150103]	1	2	$507.67	$507.67	$507.67	1.0×
washington state health ins pool [150104]	1	2	$507.67	$507.67	$507.67	1.0×
welfare pension administration services [150105]	1	2	$507.67	$507.67	$507.67	1.0×
zenith admin [150106]	1	2	$507.67	$507.67	$507.67	1.0×
zzjohn alden [150117]	1	2	$507.67	$507.67	$507.67	1.0×
zzprincipal financial group [150128]	1	2	$507.67	$507.67	$507.67	1.0×
carpenters trust [150122]	1	2	$507.67	$507.67	$507.67	1.0×
cement masons and plasterers [150127]	1	2	$507.67	$507.67	$507.67	1.0×
Cigna	2	2	$577.31	$991.11	$1,404.9	2.4×
coresource [150109]	1	2	$507.67	$507.67	$507.67	1.0×
employee benefit management services [150108]	1	2	$507.67	$507.67	$507.67	1.0×
fc moda health [150139]	1	2	$507.67	$507.67	$507.67	1.0×
first choice [150134]	1	2	$507.67	$507.67	$507.67	1.0×
asuris truadvantage [4011]	1	1	$235.49	$235.49	$235.49	1.0×
umr	1	1	$2,633.07	$2,633.07	$2,633.07	1.0×
ameriben [8000]	1	1	$1,404.9	$1,404.9	$1,404.9	1.0×
chp advantage [4001]	1	1	$270.06	$270.06	$270.06	1.0×
chpw [130116]	1	1	$325.89	$325.89	$325.89	1.0×
chpw med advantage [210102]	1	1	$203.68	$203.68	$203.68	1.0×
mega life [8005]	1	1	$1,404.9	$1,404.9	$1,404.9	1.0×
community health network of wa [1055]	1	1	$399.69	$399.69	$399.69	1.0×
mid west natl life [8006]	1	1	$1,404.9	$1,404.9	$1,404.9	1.0×

By hospital (top 200 by negotiated median, descending)

Hospital	City	ST	Payers	Gross	Cash	Neg min	Neg median	Neg max
VALLEY MEDICAL CENTER	RENTON	WA	41	$1,658	$1,160.6	$203.68	$507.67	$681.75
EAST ADAMS RURAL HOSPITAL	RITZVILLE	WA	11	$3,333	$1,999.8	$48.64	$153.51	$2,933.04
WENATCHEE VALLEY HOSPITAL	WENATCHEE	WA	27	$1,561	$1,404.9	$226.85	$1,404.9	$1,561
KFH - WASHINGTON	SEATTLE	WA	0	$2,400	$1,920	—	—	—

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.