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CPT 72131 · negotiated-rate distribution across hospitals in SD

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Hospitals
5
Min
$1,519.56
Median
$2,199.96
Max
$5,914
Range multiplier
3.9×

By payer (36 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
TRICARE472$111.19$837.35$1,563.8514.1×
UnitedHealthcare536$635.04$2,222.64$5,9149.3×
Blue Cross Blue Shield527$363$2,018.52$5,91416.3×
Cigna424$2,177.28$2,245.32$2,245.321.0×
medica (commercial) 94265 [3081118]424$1,882.44$2,222.64$2,222.641.2×
govt employees health assn [3081090]424$1,496.88$2,222.64$2,222.641.5×
healthpartners [3081368]421$113$2,222.64$2,222.6419.7×
national telephone cooperative assn 52103 [3081149]416$1,496.88$2,222.64$2,222.641.5×
Meritain Health416$2,177.28$2,245.32$2,245.321.0×
risk admin svs [3081167]416$485.9$1,150.15$1,814.43.7×
Aetna412$2,041.2$2,097.9$2,154.61.1×
Humana510$135.22$2,268$5,91443.7×
tlc advantage llc [3081189]59$2,131.92$2,131.92$2,221.221.0×
avera health plans 46045 [3081018]59$1,666.98$2,199.96$2,199.961.3×
midlands choice 47080 [3081136]48$2,177.28$2,245.32$2,245.321.0×
allied benefit systems inc [3081320]48$2,177.28$2,245.32$2,245.321.0×
coresource 38225 [3081146]48$1,474.2$2,041.2$2,041.21.4×
employee benefit management 12x44 [3081079]48$1,927.8$2,041.2$2,041.21.1×
fedmed inc [3081283]48$2,154.6$2,199.96$2,199.961.0×
health partners sx009 [3081102]48$1,406.16$2,222.64$2,222.641.6×
key benefit administrators [3081332]48$2,177.28$2,245.32$2,245.321.0×
pacificsource health plans [3081333]48$1,927.8$2,041.2$2,041.21.1×
preferred one 41147 [3081160]48$2,177.28$2,245.32$2,245.321.0×
rocky mountain admin llc 83028 [3081168]48$1,814.4$2,041.2$2,041.21.1×
sanford health plan 91184 [3081174]48$2,041.2$2,199.96$2,199.961.1×
surest [3081369]48$1,496.88$2,222.64$2,222.641.5×
va ccn optum [3081339]44$128.78$635.04$839.166.5×
Medicare44$635.04$737.1$5,9149.3×
Multiplan24$2,041.2$2,120.58$2,199.961.1×
group and pension administrators inc [3081098]24$2,041.2$2,120.58$2,199.961.1×
va black hills health care system 12115 [3081206]44$128.78$635.04$839.166.5×
va black hills health care system 12115 [3081207]33$635.04$635.04$839.161.3×
VA Health33$635.04$635.04$839.161.3×
Health Net33$635.04$635.04$839.161.3×
triwest healthcare alliance [3081322]33$635.04$635.04$839.161.3×
minnesota health care programs 12k16 [3081295]12$687.2$687.2$687.21.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
MONUMENT HEALTH SPEARFISH HOSPITALSPEARFISHSD6$2,363$2,363$363$5,914$5,914
MONUMENT HEALTH CUSTER HOSPITALCUSTERSD35$2,268$2,268$485.9$2,222.64$2,268
MONUMENT HEALTH LEAD-DEADWOOD HOSPITDEADWOODSD33$2,268$2,268$485.9$2,199.96$2,268
MONUMENT HEALTH STURGIS REGIONALSTURGISSD33$2,268$2,268$485.9$2,199.96$2,268
MONUMENT HEALTH RAPID CITY HOSPITALRAPID CITYSD31$2,268$2,268$111.19$1,519.56$2,177.28

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.